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CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2018; 39(01): 93-95
DOI: 10.4103/ijmpo.ijmpo_138_16
Case Report

A Case of Alveolar Rhabdomyosarcoma with Multifocal Pyomyositis Following Chemotherapy

Vibhor Sharma
Department of Medical Oncology, Homi Bhabha Cancer Hospital, Sangrur, Punjab, India
,
TS Subi
Department of Surgical Oncology, Homi Bhabha Cancer Hospital, Sangrur, Punjab, India
,
Debashish Chaudhary
Department of Surgical Oncology, Homi Bhabha Cancer Hospital, Sangrur, Punjab, India
,
Mehul Patel
Department of Radiodiagnosis, Homi Bhabha Cancer Hospital, Sangrur, Punjab, India
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Abstract

Pyomyositis is extremely rare after chemotherapy for nonhematological malignancies. We report a patient of alveolar rhabdomyosarcoma, who developed multifocal pyomyositis in bilateral lower limbs after the first cycle of neoadjuvant chemotherapy with vincristine, ifosfamide, mesna, and etoposide. The diagnosis of pyomyositis was reached after ultrasound and contrast-enhanced computed tomography scan of bilateral lower limbs. Staphylococcus and Streptococcus were isolated from pus. This patient was treated with 4 weeks of antibiotics, besides ultrasound-guided pus aspiration and open surgical debridement. To the best of our knowledge, no case of rhabdomyosarcoma with pyomyositis following chemotherapy has been reported so far.

Keywords

Chemotherapy - multifocal pyomyositis - rhabdomyosarcoma


Publication History

Article published online:
23 June 2021

© 2018. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

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