Guérin J M, Chachques J C, Tredaniel J, Segrestaa J M
Presse Med. 1985 Sep 7;14(29):1539-41.
Four cases of acute pyomyositis are reported. They were diagnosed at an advanced stage, and the different complementary examinations were of uneven value. The responsible pathogen was Staphylococcus aureus in 3 cases and a strain of Streptococcus in 2 cases (one patient had both germs). Cure was obtained in 3 patients, including one who required amputation; the 4th patient died. In this disease only the finding of purulent fluid at surgery or by needle aspiration has a diagnostic value. Management consists of antibiotic therapy associated with surgical drainage.
报告了4例急性脓性肌炎病例。这些病例在晚期才得以诊断,不同的辅助检查价值不一。3例的致病病原体为金黄色葡萄球菌,2例为链球菌(1例患者感染了两种病菌)。3例患者治愈,其中1例需要截肢;第4例患者死亡。对于这种疾病,只有手术中或穿刺抽出脓性液体才具有诊断价值。治疗包括抗生素治疗及手术引流。