Chong Xl, Ashik M, Arjandas M
Department of Orthopaedic Surgery, KK Women's and Children's Hospital, Singapore.
Malays Orthop J. 2014 Mar;8(1):69-70. doi: 10.5704/MOJ.1403.004.
Obturator internus pyomyositis is a rare disease that is more commonly found in tropical countries. Due to its infrequent occurrence, it is a differential of hip pain that has not been sufficiently considered, which often results in delayed diagnosis. We present a case report of a 4 year old boy with pyomyositis of obturator internus as well as externus. He was treated successfully with intravenous antibiotics. A comparison is made with other case reviews to identify symptoms and signs that could help in diagnosing the condition early and accurately so as to initiate intravenous antibiotics, the mainstay treatment in a timely fashion, eventually avoiding surgical drainage of the sequelae when it becomes an abscess.
Obturator internus pyomyositis, septic arthritis.
闭孔内肌脓性肌炎是一种罕见疾病，在热带国家更为常见。由于其发病率低，它是一种尚未得到充分考虑的髋部疼痛鉴别诊断疾病，常导致诊断延迟。我们报告一例4岁男孩患闭孔内肌及闭孔外肌脓性肌炎的病例。他通过静脉使用抗生素成功治愈。与其他病例回顾进行比较，以确定有助于早期准确诊断该病的症状和体征，从而及时启动主要治疗方法静脉使用抗生素，最终避免在病情发展为脓肿时进行手术引流等后遗症。
闭孔内肌脓性肌炎，化脓性关节炎
