https://doi.org/10.4081/itjm.2021.1386

From sciatica pain to a complex diagnosis: a case of pyomyositis and chronic lymphocytic leukemia

Vol. 15 No. 3 (2021)
Submitted: 7 October 2020
Accepted: 9 February 2021
Published: 24 September 2021
Pyomyositis, chronic lymphocytic leukemia, Staphylococcus aureus septicemia.
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Authors

Ottavia Magnani
ottavia.magnani@gmail.com
https://orcid.org/0000-0003-3093-0375
U.O. Medicina d'Urgenza, Ospedale Policlinico San Martino, Genova, Italy.
Matteo Caiti
U.O. Medicina d'Urgenza, Ospedale Policlinico San Martino, Genova, Italy.
Elisabetta Cenni
U.O. Medicina d'Urgenza, Ospedale Policlinico San Martino, Genova, Italy.
Paolo Moscatelli
U.O. Medicina d'Urgenza, Ospedale Policlinico San Martino, Genova, Italy.

We described a case of a 50-year-old man who presented severe low back and leg pain that quickly evolved in severe septic shock. Clinical workouts led us to diagnose a rare condition as pyomyositis because of the identification of Staphylococcus aureus septicemia and multiple muscle collections. Although this rare condition rarely occurs in temperate climates, its prevalence recently increased and is often associated with an immunocompromised condition. In this case, the investigation of an immunological impairment revealed an underlying chronic lymphocytic leukemia/small cell non-Hodgkin lymphoma.

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How to Cite

Magnani, O., Caiti, M., Cenni, E., & Moscatelli, P. (2021). From sciatica pain to a complex diagnosis: a case of pyomyositis and chronic lymphocytic leukemia. Italian Journal of Medicine, 15(3). https://doi.org/10.4081/itjm.2021.1386
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