Pyomyositis is a common disease in tropical countries, but is believed to be rare in temperate climates. Two children who had never left the northeastern part of the United States developed single intramuscular abscesses. Pyomyositis may be more common in temperate climates than has previously been appreciated.
Echeverria P, Vaughn MC. "Tropical Pyomyositis": A Diagnostic Problem in Temperate Climates. Am J Dis Child. 1975;129(7):856–857. doi:10.1001/archpedi.1975.02120440072016
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