Skip to content
Research Article Open access CC BY 4.0

Determinants of Primary Pyomyositis in Northern Uganda

David Lagoro Kitara, Paul Okot Bwangamoi, Henry Wabinga, Michael Odida

Journal of Advances in Medicine and Medical Research · pp. 299–308 · Published 24 Feb 2015

10.9734/BJMMR/2015/14596

Abstract

Aim: To describe the determinants of primary pyomyositis in Northern Uganda. Study Design and Setting: A case-control and a cohort study designs were conducted in Hospitals in Northern Uganda. Methods: Primary pyomyositis patients were consecutively recruited and followed to discharge. Controls had minor trauma and were age and sex matched with cases. Patients were admitted, investigated (clinical features, imaging, hematology, clinical chemistry and histology from muscle biopsy); managed surgically and followed up to discharge. Those that did not meet the inclusion criteria for diagnosis histologically were excluded. Ethical approval was obtained from Gulu University IRB. Results: The determinants of primary pyomyositis were: HIV positivity with low CD4 counts (<250 cells/ml) (χ2=11.748; p<0.001; aOR 11.292 at 95% CI (0.698,182.707) (p=0.088)); clinical features of immunosuppression/AIDS (χ2=12.70; p<0.001; aOR 6.50 at 95% CI (0.000,2.500) (p=0.850)); High serum creatinine level (χ2=20.191; p<0.001; aOR 6.070 at 95% CI (0.289,127.545) (p=0.317)) and Low serum albumin (malnutrition) (χ2=103.247; p<0.001; aOR 226.004 at 95% CI (13.449, 3797.786) (p<0.001)). Conclusion: The determinant of primary pyomyositis was low serum albumin (malnutrition) while clinical features of immunosuppression/AIDS, high serum creatinine level and HIV positivity with low CD4 counts were risk factors but not independent predictors of this disease.

Determinants of primary pyomyositis clinical presentations Gulu Uganda

References (44)

  1. 1 Pyomyositis [DOI]
  2. 2 Bacterial pyomyositis in the United States [DOI]
  3. 3 Tropical pyomyositis (myositis tropicans): current perspective [DOI]
  4. 4 Risk Factors for Early Childhood Malnutrition in Uganda [DOI]
  5. 5 Pyomyositis in North America: Case Reports and Review [DOI]
  6. 6 Tropical Pyomyositis [DOI]
  7. 7 Quadriceps Contusions in Young Athletes [DOI]
  8. 8 Determinants of child nutrition and mortality in north-west Uganda.
  9. 9 Acute Pyogenic Iliopsoas Abscess in Taiwan: Clinical Features, Diagnosis, Treatments and Outcome [DOI]
  10. 10 Tropical and Temperate Pyomyositis [DOI]
  11. 11 Pyomyositis [DOI]
  12. 12 Pyomyositis in a temperate climate. Presentation, diagnosis, and treatment. [DOI]
  13. 13 NATURAL HISTORY OF 338 TREATED AND UNTREATED PATIENTS WITH STAPHYLOCOCCAL SEPTICÆMIA [DOI]
  14. 14 Pyomyositis: clinical features and predisposing conditions.
  15. 15 Pyomyositis tropicans in Uganda.
  16. 16 Pyomyositis in patients with the human immunodeficiency virus: An unusual form of disseminated bacterial infection [DOI]
  17. 17 Iliopsoas abscess: treatment by CT-guided percutaneous catheter drainage [DOI]
  18. 18 Pyomyositis in patients who have the human immunodeficiency virus. Case report and review of the literature. [DOI]
  19. 19 Pyomyositis in children: analysis of 31 cases [DOI]
  20. 20 Psoas Muscle Abscess Caused by Mycobacterium tuberculosis and Staphylococcus aureus: Case Report and Review [DOI]
  21. 21 Diagnosis and treatment of pyogenic psoas abscess in diabetic patients: usefulness of computed tomography and gallium-67 scanning [DOI]
  22. 22 Pyomyositis and its risk factors in patients of Gulu Regional Referral Hospital, Uganda. A Descriptive Cross-sectional Study Design
  23. 23 Pyomyositis in Children [DOI]
  24. 24 Tropical skeletal muscle abscesses (pyomyositis tropicans) [DOI]
  25. 25 Pyomyositis associated with human immunodeficiency virus infection. [DOI]
  26. 26 Muscle Abscesses in Children [DOI]
  27. 27 Staphylococcus aureus Colonization in a Community Sample of HIV-Infected and HIV-Uninfected Drug Users [DOI]
  28. 28 Iliacus pyomyositis mimicking septic arthritis of the hip joint [DOI]
  29. 29 Staphylococcus aureus Nasal Colonization in HIV-Seropositive and HIV-Seronegative Drug Users [DOI]
  30. 30 High HIV seroprevalence among patients with pyomyositis in Northern Uganda [DOI]
  31. 31 Tropical myositis, the great imitator: a case report.
  32. 32 Severe Polymyositis-like Syndrome Associated with Zidovudine Therapy of AIDS and ARC [DOI]
  33. 33 Non-Spinal Pyogenic Psoas Abscess [DOI]
  34. 34 Pyomyositis: Tropical disease in a temperate climate [DOI]
  35. 35 Short communication Immunoglobulin G subclass deficiency and susceptibility to pyogenic infections in patients with AIDS-related complex and AIDS [DOI]
  36. 36 Pyomyositis in a Child With Acquired Immunodeficiency Syndrome [DOI]
  37. 37 Pyomyositis — Tropical and Nontropical [DOI]
  38. 38 Non-tropical pyomyositis. [DOI]
  39. 39 Pyomyositis in a patient with myeloma responding to antibiotics alone [DOI]
  40. 40 Absence of neutropenia in African patients with AIDS and associated pyomyositis.
  41. 41 Spontaneous Pyomyositis in a Patient With Feltyʼs Syndrome: Diagnosis Using Computerized Tomography [DOI]
  42. 42 Observations on the clinical features, aetiology and geographical distribution of pyomyositis in East Africa.
  43. 43 Three Cases of Staphylococcal Pyomyositis in Adolescence, Including One Patient with Neurologic Compromise [DOI]
  44. 44 Pyomyositis presenting as rapidly progressive generalized weakness [DOI]

Cited by 0

No indexed citations yet.

Related research

Article metrics

Real usage data collected on this platform.

73

Page views

0

PDF downloads

11

Outbound clicks

0

Citations

Views over time

Views by country

Approximate, from request IP at view time — not citizenship or institution. Countries with fewer than 5 views are grouped as "Other".

Traffic sources

Referring site, by host.

Views and downloads exclude known bots/crawlers. Citations combines this platform's own DOI-resolved index with each external source's own reported total — see Cited by above for individually listed citing works. Last refreshed 0 seconds ago.