Journal of the Chinese Medical Association
Volume 69, Issue 4 , Pages 184-188, April 2006

Pyomyositis During Induction Chemotherapy for Acute Lymphoblastic Leukemia

  • Kai-Liang Kao

      Affiliations

    • Corresponding Author InformationCorrespondence to: Dr. Kai-Liang Kao, Department of Pediatrics, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei 112, Taiwan, R.O.C.
    • ,
  • Giun-Yi Hung
    • ,
  • Betau Hwang

Department of Pediatrics, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.

Received 3 May 2005; accepted 25 August 2005.

Herein, we report on the correct diagnosis and effective treatment procedures for pyomyositis, a very rare complication that remains a diagnostic challenge in children being treated for acute lymphoblastic leukemia (ALL). We report the case of a 10-year-old girl suffering from pyomyositis with ALL. Correct diagnosis is usually delayed because the initial symptom of pyomyositis, usually local pain, is similar to the common side effect of vincristine, a drug necessary for ALL induction therapy. We summarize the procedures taken to reach a timely diagnosis and therapeutic success.

Key Words:  acute lymphoblastic leukemia , muscle abscess , pyomyositis

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PII: S1726-4901(09)70203-5

doi:10.1016/S1726-4901(09)70203-5

Journal of the Chinese Medical Association
Volume 69, Issue 4 , Pages 184-188, April 2006

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