Abstract
Pyomyositis characterized by bacterial infection of the skeletal muscle is a common infection in the tropics, but rare in the subtropical and temperate climates. It is considered to be the result of hematogenous seeding from an occult focus. Staphylococcus aureus is the most common causative agent. The diagnosis is often overlooked or delayed on account of under-recognition of this disease. This article presents an uncommon case of pyomyositis in an apparently healthy man with atypical presentations, involving the muscle of right gastrocnemius. The spiral computerized tomography scan taking the advantage of reconstructed function in defining the abscess especially is emphasized. It is hoped that the more recognition of this disease in clinic will lead to making early diagnosis and adequate treatment to all those suffered from pyomyositis in the subtropics.
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