Chen Yi-Shan, Chia Wei-Tso
Emergency Department, Hsin Chu General Hospital, Department of Health, Executive Yuan, ROC, Taipei, Taiwan.
Orthop Nurs. 2010 Jan-Feb;29(1):17-9. doi: 10.1097/NOR.0b013e3181c8cd1c.
Tropical pyomyositis, a disease often seen in tropical countries, is characterized by suppuration within the skeletal muscles, manifesting as single or multiple abscesses. Staphylococcus aureus is the most common agent responsible for typical pyomyositis. Misdiagnosis usually occurs as a result of nonspecific presentation, unfamiliarity with the disease, and the many possible differential diagnoses. Here we present a rare case of tropical pyomyositis caused by Salmonella (group D non-typhi Salmonella) within the gluteus maximus of a hepatitis B carrier without definite previous gastrointestinal episodes.
热带脓性肌炎是一种在热带国家常见的疾病,其特征是骨骼肌内出现化脓,表现为单个或多个脓肿。金黄色葡萄球菌是典型脓性肌炎最常见的病原体。误诊通常是由于表现不具特异性、对该疾病不熟悉以及存在多种可能的鉴别诊断。在此,我们报告一例罕见的热带脓性肌炎病例,由沙门氏菌(D组非伤寒沙门氏菌)引起,发生在一名乙肝携带者的臀大肌内,该携带者既往无明确的胃肠道疾病发作史。