Medappil Noushif, Adiga Prashanth
Department of General Surgery, Calicut Medical College, KUHAS, Kerala, India.
J Emerg Trauma Shock. 2011 Jul;4(3):385-8. doi: 10.4103/0974-2700.83869.
Primary pyomyositis is a suppurative infection of striated muscle, the diagnosis of which is overlooked or delayed due to its rarity and vague clinical presentation. Though rare in the United States and temperate zones, pyomyositis is more frequently reported from tropical countries. The exact pathogenesis of pyomyositis is uncertain in most cases. The disease progresses through three stages with characteristic features and require a high index of suspicion to institute stage-wise treatment. Newer imaging methods, particularly magnetic resonance imaging, have facilitated the accurate diagnosis of the infection and of the extent of involvement. Early recognition with appropriate antibiotics in the pre-suppurative stage and prompt surgical intervention in the late stages form the corner stone of treatment. Delay in diagnosis can result in increased morbidity and mortality, especially in diabetics and immunocompromised state. Here, we report a case of primary paraspinal pyomyositis in a middle-aged female and emphasize the importance of early diagnosis and treatment.
原发性脓性肌炎是一种横纹肌的化脓性感染，由于其罕见性和模糊的临床表现，其诊断常被忽视或延误。脓性肌炎在美国和温带地区虽罕见，但在热带国家报告更为频繁。在大多数情况下，脓性肌炎的确切发病机制尚不确定。该疾病通过三个具有特征性的阶段发展，需要高度怀疑才能进行分阶段治疗。更新的成像方法，尤其是磁共振成像，有助于准确诊断感染及其累及范围。在化脓前期尽早识别并使用适当抗生素，在后期及时进行手术干预，构成了治疗的基石。诊断延误可导致发病率和死亡率增加，尤其是在糖尿病患者和免疫功能低下状态者中。在此，我们报告一例中年女性原发性椎旁脓性肌炎病例，并强调早期诊断和治疗的重要性。
