Fox Lindy Peta, Geyer Adam S, Grossman Marc E
Department of Dermatology, College of Physicians and Surgeons, Columbia University, New York, New York, USA.
J Am Acad Dermatol. 2004 Aug;51(2):308-14. doi: 10.1016/j.jaad.2004.01.060.
Four patients were admitted to Columbia Presbyterian Medical Center for evaluation of lower extremity pain and swelling. Three patients were initially misdiagnosed with cellulitis and one patient underwent evaluation for dermatomyositis. After consultation by the dermatologist, a correct diagnosis of pyomyositis was made clinically and confirmed by imaging, surgery, or an interventional procedure. Wound, blood, and urine cultures were positive for methicillin-sensitive Staphylococcus aureus in 100%, 50%, and 25% of patients, respectively. After the appropriate diagnosis and treatment, all patients experienced rapid resolution of symptoms and a favorable outcome.
四名患者因下肢疼痛和肿胀入住哥伦比亚长老会医学中心进行评估。三名患者最初被误诊为蜂窝织炎，一名患者接受了皮肌炎评估。经皮肤科医生会诊后，临床确诊为脓性肌炎，并通过影像学、手术或介入性操作得到证实。伤口、血液和尿液培养物中，耐甲氧西林金黄色葡萄球菌的阳性率分别为100%、50%和25%。经过适当的诊断和治疗，所有患者的症状迅速缓解，预后良好。
