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- WikiMSK:Featured Article/1 April 2022 + (Pyomyositis is a bacterial infection of th … Pyomyositis is a bacterial infection of the muscle, which can form abscesses and spread locally. It is relatively uncommon in temperate climates, often has an insidious onset, and can be difficult to diagnose. It is even more challenging in the paediatric population where the history may not be clear, examination is inconsistent, and blood tests are non-specific. It was initially described in 1885 as a disease predominating tropical areas (hence also known as tropical myositis or myositis tropicans). It differs from myositis in that it is always precipitated by bacteria and is confined to distinct areas in musclesd is confined to distinct areas in muscles)