Purulent Infectious Myositis: Its Anguish and Ubiquitous!

Purulent Infection Myositis (PIM) which was formerly called as tropical myositis is an acute or sub-acute primary infection of striated muscles. It affects all age groups, both sexes and occurs in tropical as well as temperate climates. Most frequently encountered culprits are skin commensals like staphylococci aureus. It is predominantly reported in immunocompromised individuals and with pre-existing muscle abnormalities like strain, trauma, parasite or another inciting event. Gram-negative bacilli myositis in an immunocompetent individual is rare. We report a case of Escherichia coli PIM in an immunocompetent patient with no risk factors and muscle abnormality. This helps early consideration of proper antibiotic therapy in an immunocompetent patient with pyomyositis and helps avoid complications associated with pyomyositis.