Panikkath Deepa, Tantrachoti Pakpoom, Panikkath Ragesh, Nugent Kenneth
Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas.
Proc (Bayl Univ Med Cent). 2016 Jul;29(3):290-1. doi: 10.1080/08998280.2016.11929439.
Pyomyositis is an acute infectious disorder affecting the skeletal muscle. Although seen more commonly in the tropics, cases are being reported in temperate countries, including the United States. We report a case of nontropical pyomyositis in a 58-year-old diabetic man who presented with a vague chest wall swelling. His initial clinical presentation and imaging findings suggested an intramuscular hematoma. He later developed fever with increased swelling, and pyomyositis was diagnosed after an aspiration of the swelling yielded Streptococcus agalactiae. Aspiration of the abscess and the use of appropriate antibiotics led to complete resolution of the disease. We discuss possible factors in diabetics that might predispose them to pyomyositis.
脓性肌炎是一种影响骨骼肌的急性感染性疾病。尽管在热带地区更为常见，但包括美国在内的温带国家也有病例报道。我们报告一例58岁糖尿病男性的非热带地区脓性肌炎病例，该患者最初表现为胸壁模糊肿胀。其最初的临床表现和影像学检查结果提示为肌肉内血肿。后来他出现发热且肿胀加剧，在对肿胀部位进行穿刺抽出无乳链球菌后确诊为脓性肌炎。脓肿穿刺引流并使用适当抗生素后，疾病完全治愈。我们讨论了糖尿病患者可能易患脓性肌炎的潜在因素。
