[脓性肌炎：系统性红斑狼疮的一种感染性并发症]
[Pyomyositis: an infectious complication in systemic lupus erythematous].
作者信息
El Baaj M, Tabache F, Modden K, Hassikou H, Safi S, Khalid R, Hadri L
机构信息
hôpital militaire Moulay Ismail, Méknes, Maroc.
出版信息
Rev Med Interne. 2010 Mar;31(3):e4-6. doi: 10.1016/j.revmed.2009.03.007. Epub 2009 Apr 10.
Pyomyositis is a primary pyogenic muscular infection. It has been originally described in the tropics. Presenting signs and symptoms are not specific. It is frequently misdiagnosed in the early stages. We report the case of a 47-year-old woman with systemic lupus erythematosus treated with corticosteroids who presented a thigh pyomyositis evidenced by echography and MRI. Outcome was uneventful after antibiotics and surgical drainage. Pyomyositis is increasingly described among immunocompromised people, including lupus patients treated with corticosteroids.
脓性肌炎是一种原发性化脓性肌肉感染。它最初在热带地区被描述。其表现出的体征和症状并不具有特异性。在早期阶段它常常被误诊。我们报告了一例47岁患有系统性红斑狼疮且正在接受皮质类固醇治疗的女性病例，该患者经超声和磁共振成像证实患有大腿脓性肌炎。在使用抗生素和手术引流后，结果平稳。脓性肌炎在免疫功能低下人群中越来越多地被报道，包括接受皮质类固醇治疗的狼疮患者。
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