Case Report: PDF OnlyPyomyositis During Induction Chemotherapy for Acute Lymphoblastic LeukemiaKao, Kai-Liang*; Hung, Giun-Yi; Hwang, Betau Author Information Department of Pediatrics, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C. *Correspondence to: Dr. Kai-Liang Kao, Department of Pediatrics, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei 112, Taiwan, R.O.C. E-mail: [email protected] Received: May 3, 2005; • Accepted: August 25, 2005. Journal of the Chinese Medical Association: April 2006 - Volume 69 - Issue 4 - p 184-188 doi: 10.1016/S1726-4901(09)70203-5 Metrics Abstract 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. © 2006 by Lippincott Williams & Wilkins, Inc.