Narayanan Maya, Mookherjee Somnath, Spector Tara B, White Andrew Austin
Department of Medicine, University of Washington, Seattle, Washington, USA.
BMJ Case Rep. 2013 Aug 30;2013:bcr2013009380. doi: 10.1136/bcr-2013-009380.
A 66-year-old man with a recent radiographic diagnosis of a parietal brain tumour presented with severe left thigh pain that prevented ambulation. On examination, his left anterior thigh was mildly swollen without erythema. Initial concern was for deep vein thrombosis in the setting of brain malignancy or necrotising soft tissue infection. Subsequent imaging and biopsies revealed methicillin sensitive Staphylococcus aureus (MSSA) pyomyositis of the left thigh and MSSA brain abscess.
一名66岁男性,近期经影像学检查诊断为顶叶脑肿瘤,现因严重的左大腿疼痛而无法行走。体格检查发现,其左大腿前部轻度肿胀,无红斑。最初怀疑是脑恶性肿瘤或坏死性软组织感染引发的深静脉血栓形成。随后的影像学检查和活检显示,该患者为左大腿金黄色葡萄球菌(MSSA)性脓性肌炎及MSSA脑脓肿。