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本文引用的文献

1
Brucellosis presenting as piriformis myositis: a case report.以梨状肌炎表现的布鲁氏菌病:一例报告
J Med Case Rep. 2011 Mar 30;5:125. doi: 10.1186/1752-1947-5-125.
2
Osteoarticular infection of the symphysis pubis and sacroiliac joints in active young sportsmen.活跃的年轻运动员耻骨联合和骶髂关节的骨关节感染
BMJ. 2009 Dec 7;339:b5019. doi: 10.1136/bmj.b5019.
3
Piriformis pyomyositis with sciatica: an unrecognized complication of "unsafe" abortions.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。
J Clin Rheumatol. 2007 Apr;13(2):87-8. doi: 10.1097/01.rhu.0000260655.90449.7d.
4
Pyomyositis of the piriformis muscle in a juvenile.一名青少年梨状肌的脓性肌炎
Ann R Coll Surg Engl. 2005 Jan;87(1):W9-12. doi: 10.1308/147870804894.
5
Piriformis pyomyositis: a rare cause of sciatica.梨状肌脓性肌炎:坐骨神经痛的罕见病因。
Singapore Med J. 2004 May;45(5):229-31.
6
Pyomyositis in a 69-year-old tennis player.一名69岁网球运动员的脓性肌炎。
Am J Orthop (Belle Mead NJ). 2003 Nov;32(11):562-3.
7
Patterns of musculoskeletal infection in childhood.儿童期肌肉骨骼感染的模式
J Bone Joint Surg Br. 2001 Jan;83(1):1-2. doi: 10.1302/0301-620x.83b1.11892.
8
Psoas abscess associated with iliac vein thrombosis and piriformis and gluteal abscesses.腰大肌脓肿合并髂静脉血栓形成及梨状肌和臀肌脓肿。
Int J Urol. 1999 May;6(5):257-9. doi: 10.1046/j.1442-2042.1999.00054.x.
9
Proteus pyomyositis of the piriformis muscle in a swimmer.一名游泳运动员梨状肌的变形杆菌性脓性肌炎
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Piriformis abscess mimicking a hip pyarthrosis.酷似髋关节化脓性关节炎的梨状肌脓肿
Orthop Rev. 1993 Aug;22(8):925-8.

一名青少年橄榄球运动员梨状肌脓肿伴坐骨神经痛

Pyomyositis of the piriformis muscle presenting with sciatica in a teenage rugby player.

作者信息

Giebaly Dia Eldean, Horriat Sam, Sinha Aabha, Mangaleshkar Singu

机构信息

Trauma and Orthopaedics Department, NHS Ayrshire and Arran, Ayr, UK.

出版信息

BMJ Case Rep. 2012 Jul 13;2012:bcr1220115392. doi: 10.1136/bcr.12.2011.5392.

DOI:10.1136/bcr.12.2011.5392
PMID:22802567
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3417030/
Abstract

The authors report a rare case of piriformis pyomyositis, in a teenage rugby player, who was initially feverish and presented to us with low back pain, sciatica and inability to mobilise due to pain. Subsequent imaging investigations (MRI scan) revealed abscess formation in the piriformis muscle with compression effect on the ipsilateral sciatic nerve. A course of intravenous antibiotic therapy followed by oral antibiotics fully resolved his symptoms and returned inflammatory markers back to normal.

摘要

作者报告了一例罕见的梨状肌脓性肌炎病例,患者为一名青少年橄榄球运动员,最初发热,因腰痛、坐骨神经痛及疼痛导致活动受限前来就诊。随后的影像学检查(磁共振成像扫描)显示梨状肌形成脓肿,并对同侧坐骨神经产生压迫效应。静脉抗生素治疗疗程后改为口服抗生素,患者症状完全缓解,炎症指标恢复正常。