Rare case of acute pyomyositis presenting with severe systemic septic shock in a young immunocompetent patient

Abstract

We report a case of acute pyomyositis in a 21-year-old male patient with no medical comorbidities. He presented with an insidious onset of symptoms and signs of spreading multiple pyomyositis in the gluteal area and septic shock. The patient was immunocompetent and presented in stage 3 of the disease, which is an uncommon and life-threatening situation. The case was aptly diagnosed and managed with appropriate radiological investigations, surgical, intensive care, and consequent comprehensive wound management over a period of 3 weeks to achieve the best outcome and save the patient from morbidity and mortality. Such a case can easily be mistaken for necrotizing fasciitis.