Verma Sanjay
Department of Pediatrics, Advanced Pediatric Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Curr Infect Dis Rep. 2016 Mar;18(4):12. doi: 10.1007/s11908-016-0520-2.
Primary pyomyositis in children is prevalent in the tropics and increasingly being recognised from temperate regions. Staphylococcus aureus remains the principle causative organism worldwide, while proportion of community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) is on rise. Commonly involved groups are around the pelvis and lower limbs. Clinical presentation depends on the stage of disease, most commonly a child presenting with limping with fever. Early diagnosis and management are crucial. The investigation of choice is MRI scan. Appropriate antibiotic treatment should be instituted at the earliest opportunity along with drainage. Majority of patients show excellent and complete recovery with no long-term complications once treatment is started early. A high level of awareness and suspicion of this condition is warranted from all paediatric clinicians.
儿童原发性脓性肌炎在热带地区较为普遍，并且在温带地区也越来越多地被认识到。金黄色葡萄球菌仍然是全球主要的致病微生物，而社区获得性耐甲氧西林金黄色葡萄球菌（CA-MRSA）的比例正在上升。常见受累部位是骨盆和下肢周围。临床表现取决于疾病阶段，最常见的是儿童出现发热伴跛行。早期诊断和治疗至关重要。首选的检查是磁共振成像（MRI）扫描。应尽早开始适当的抗生素治疗并进行引流。一旦早期开始治疗，大多数患者会有良好且完全的恢复，无长期并发症。所有儿科临床医生都需要对这种疾病保持高度的认识和怀疑。
