Pyomyositis is most often associated with Staphylococcus aureus infections
after trauma. We describe an unusual presentation of pyomyositis of the che
st wall secondary to group A betahemolytic streptococcus infection in a 15-
month-old child with acute abdominal symptoms. in addition, the patient had
no history or evidence of trauma to the affected area. Pyomyositis present
ing in this manner secondary to group A beta-hemolytic streptococcus infect
ion in the absence of a primary varicella infection has not been previously
reported.