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梨状肌脓性肌炎伴坐骨神经痛:“不安全”堕胎的一种未被认识的并发症。

Piriformis pyomyositis with sciatica: an unrecognized complication of "unsafe" abortions.

作者信息

Colmegna Ines, Justiniano Maria, Espinoza Luis R, Gimenez Carlos R

机构信息

Section of Rheumatology, Louisiana State University Health Sciences Center, New Orleans, Louisiana 70112, USA.

出版信息

J Clin Rheumatol. 2007 Apr;13(2):87-8. doi: 10.1097/01.rhu.0000260655.90449.7d.

Abstract

We report the case of a patient who presented with right sciatic pain as a manifestation of piriformis muscle syndrome 1 month after a clandestine- induced abortion. MRI revealed the presence of a piriformis abscess. Staphylococcus aureus was isolated from blood cultures and from the purulent material obtained by CT-guided aspiration. Piriformis pyomyositis should be recognized as a potential complication of "unsafe" abortions that if left untreated could progress to sepsis and death.

摘要

我们报告了一例患者,该患者在私自堕胎1个月后出现右坐骨神经痛,这是梨状肌综合征的一种表现。磁共振成像(MRI)显示存在梨状肌脓肿。从血培养以及经CT引导穿刺获取的脓性物质中分离出金黄色葡萄球菌。梨状肌脓性肌炎应被视为“不安全”堕胎的一种潜在并发症,若不治疗可能进展为败血症并导致死亡。

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