Giebaly Dia Eldean, Horriat Sam, Sinha Aabha, Mangaleshkar Singu
Trauma and Orthopaedics Department, NHS Ayrshire and Arran, Ayr, UK.
BMJ Case Rep. 2012 Jul 13;2012:bcr1220115392. doi: 10.1136/bcr.12.2011.5392.
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.
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。