Piper C, Henrich R, Wendt B, von Egidy H
Medizinische Klinik A, Klinikum der Landeshauptstadt Wiesbaden.
Med Klin (Munich). 1990 Dec 15;85(12):707-14.
Haematogenous primary pyomyositis predominantly caused by staphylococcus aureus is a well-known entity in tropical regions. It is sporadicly observed in non-tropical areas. Lack of clinical familiarity not seldom contributes to delayed recognition of pyomyositis in the suppurative or complicated state. Initially, healing usually can be achieved by antibiotic treatment adjusted by antibiotic treatment adjusted to pyogenic staphylococci. Late stages require concomitant surgical or transcutaneous drainages of pus. In addition, treatment for osteomyelitis or bacterial carditis as typical complications may be necessary. The review of pyomyositis is illustrated by three case-reports from Germany.
血源性原发性脓性肌炎主要由金黄色葡萄球菌引起，在热带地区是一种众所周知的疾病。在非热带地区偶尔可见。临床认识不足常常导致脓性肌炎在化脓或并发状态下的诊断延迟。最初，通过针对化脓性葡萄球菌调整的抗生素治疗通常可以实现治愈。晚期则需要同时进行手术或经皮引流脓液。此外，对于典型并发症骨髓炎或细菌性心内膜炎可能需要进行治疗。本文通过来自德国的三例病例报告阐述脓性肌炎。
