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Table 2 Clinical features of group A streptococcus pyomyositis

From: Thigh pyomyositis caused by group A streptococcus in an immunocompetent adult without any cause

Age (years)

Sex

Tropical

Underlying condition

Area of infection

Single or multiple lesions

Blood cultures

ICU stay

Antibiotics

Treatment duration (days)

Drainage

Prognosis

Reference

2

M

No

None

Left thigh

–

Positive

–

2nd cef, PCG, aminoglycoside

40

Surgical

Recovered

[9]

2

M

No

None

Right iliac muscle

Single

Negative

No

–

21

No

Recovered

[10]

4

M

No

Autism

Left psoas/thigh

Multiple

Positive

Yes

CTRX, VCM → PCG, CLDM

–

Surgical

Recovered

[11]

5

F

No

None

Right thigh

Single

Negative

No

Oxacillin

–

Surgical

Recovered

[12]

8

M

No

None

Neck

–

–

–

–

–

–

–

[13]

9

M

No

None

Right iliopsoas

Multiple

Positive

No

–

33

Surgical

Recovered

[11]

17

M

Yes

–

–

Multiple

Positive

–

–

–

–

Recovered

[14]

19

M

No

None

Right thigh and left knee

Multiple

–

No

PCG

–

Surgical

Recovered

[15]

23

M

Yes

–

Left arm

Single

Negative

–

–

–

–

Recovered

[14]

24

F

No

None

Right neck

Single

Negative

No

CEZ

28

Surgical

Recovered

[27]

26

F

No

None

Left thoraco-abdominal muscle

Multiple

Negative

Yes

Ticarcillin-clavulanate → PCG

7

Surgical

Recovered

[5]

30

F

No

None

Left hand and both thighs

Multiple

Positive

Yes

CTRX, CLDM

–

–

Recovered

[16]

31

M

Yes

None

Left psoas

–

Negative

–

PCG

–

No

Recovered

[17]

33

F

No

DM

Left axilla

Single

Negative

No

PCG

20

Surgical

Recovered

[17]

38

F

No

None

Right shoulder/arm

Multiple

Negative

No

PCG

11

Surgical

Recovered

[19]

40

F

No

None

–

Multiple

Positive

–

–

–

–

Died

[20]

44

F

No

None

Left calf/knee

Multiple

–

–

CTX, metro, PCG → PCG

–

Surgical

Recovered

[21]

48

M

No

None

Left neck

Single

Negative

No

Ticarcillin-clavulanate, CLDM → PCG

28

Surgical

Recovered

[18]

49

F

No

None

Right arm

–

–

–

PCG

–

–

Died

[22]

52

M

No

None

Left thigh

Single

–

No

Cloxacillin, PCG

6

Surgical

Recovered

[23]

53

M

No

None

Left calf

–

Positive

–

PCG, aminoglycoside

–

–

Died

[20]

67

M

No

None

Left thigh

–

–

–

CEZ → PCG

10

Surgical

Recovered

[24]

76

M

No

IPF

Right biceps

Single

Positive

Yes

PCG

31

Surgical

Recovered

[25]

–

F

Yes

None

Neck

Single

Positive

No

Flucloxacillin, PCG

–

No

Recovered

[26]

  1. M male; F female; ICU intensive care unit;– not recorded; → switch; 2nd cef second-generation cephalosporin; PCG benzylpenicillin; CTRX ceftriaxone; VCM vancomycin; CLDM clindamycin; CTX cefotaxime; metro, metronidazole; CEZ cefazolin; DM diabetes mellitus; IPF idiopathic pulmonary fibrosis