Table 1.

Clinical stages of pyomyositis

Stage 1	- Crampy local muscle pain, swelling, low-grade fever, mild leukocytosis, induration of muscles leading to a ‘woody’ texture.
	- No fluctuance and aspiration with not yield pus.
	- About 2% of patients present in this stage.
Stage 2	- 10-21 days after onset of symptoms.
	- Fever, exquisite tenderness, edema, marked leukocytosis with eosinophilia in many tropical cases.
	- Aspiration will yield pus.
	- > 90% cases present at this stage.
Stage 3	- Bacteremia, toxic appearance, marked fluctuance.