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Gonococcal Pyomyositis

Raymond L. Swarts, MD; Luis A. Martinez, MD; Hugh G. Robson, MD
JAMA. 1981;246(3):246. doi:10.1001/jama.1981.03320030038025.
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THE DIFFERENTIAL diagnosis of agents causing abscess formation at sites remote from the genital tract usually does not include Neisseria gonorrhoeae. We report the finding of a gonococcal abscess in the biceps muscle of a young woman.

Report of a Case  A 22-year-old woman was hospitalized with pain and swelling that had developed in her right biceps muscle over a three-day period and had persisted for three weeks. The pain radiated into and was aggravated by any movement of the shoulder. It was partially relieved with salicylate therapy and hot packs. The patient denied having fever, chills, rash, arthralgias, dysuria, abdominal pain, local trauma, heavy exercise, or vaginal discharge. She had used birth control pills for the previous six months, and the completion of her last menstruation was one week before admission. Her last sexual contact was two weeks before the onset of symptoms.On admission, the patient was in

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