Surgical Management of Suppurative Myositis in a 21 Year Old Male with Novel Fish Skin Graft

Suppurative myositis a rare type of autoimmune disease that inflames and weakens muscle fibers.  In myositis, the immune system attacks healthy muscle tissue, which results in inflammation, swelling, pain, and  weakness. An acute inflammation characterized by neutrophil-rich infiltrates. To date, there is no cure. Management of disease is critical in order to reduce inflammation caused by myositis and to prevent muscle weakness from progressing. Weakness, swelling, pain are the most common myositis symptoms. Treatment of myositis varies according to cause. Fish skin graft (FSG) is a unique biologic scaffold resembling the dermal extracellular matrix. FSG is rich in Omega3 that anti-inflammatory, promotes cellular ingrowth, neovascularization and aids tissue infill and remodel. We hypothesize that FSG, can be used as part of the surgical intervention for suppurative myositis aiding in tissue formation, vascularization and cellular ingrowth.Methods:A stand alone study was conducted on a 21 year old male treated by Dr. Michael Romberg at SAS Surgical LTD.  . Debrided infected necrotic liquefying muscle tissue from wrist to above the elbow of arm.  FSG and wound vac applied. Results:Complete healing  achieved. Patient with good ROM to arm with no deficits. One time application of FSG led to successful healing time. Patient noticed significant scar reduction. Pt experienced no pain.Discussion: The use of FSG on this rare and acute autoimmune disease stimulated wound healing process, reduced scar formation, alleviated pain, and enhanced the patient’s quality of life. Patient has complete ROM to left arm with no deficits.References: