Mantilla-Flórez Yesid Fabián, Echeverry-Díaz Tatiana, de la Espriella Laura Duarte, Tuta-Quintero Eduardo Andrés
Internal Medicine Program, Medicine School, University of La Sabana, Chía, Colombia.
Grupo Investigación en Riesgo Cardiovascular, Trombosis y Anticoagulación (RICAVTA), 150244Hospital Universitario de la Samaritana, Bogota, Colombia.
Trop Doct. 2020 Oct;50(4):375-377. doi: 10.1177/0049475520938166. Epub 2020 Jul 5.
Pyomyositis commonly presents with fever, muscle pain and abscess formation involving deep soft-tissue compartments. is the main causative organism and diagnosis is usually established clinically, supported by imaging, but confirmation may be achieved by histopathological examination. Broad-spectrum antibiotic therapy and surgical debridement are the cornerstone of treatment. Its prognosis is good but, as in all soft-tissue infections, it depends on early intervention, directed antibiotics and, if indicated, prompt surgery. In this paper, we describe a case of pelvic pyomyositis complicated with bacteraemia and bilateral septic pulmonary emboli in a young man in Colombia.
脓性肌炎通常表现为发热、肌肉疼痛以及累及深部软组织间隙的脓肿形成。[具体细菌名称]是主要的致病微生物,诊断通常依靠临床症状,并由影像学检查辅助,但确诊可能需要通过组织病理学检查。广谱抗生素治疗和外科清创术是治疗的基石。其预后良好,但与所有软组织感染一样,取决于早期干预、针对性抗生素治疗以及必要时的及时手术。在本文中,我们描述了一名哥伦比亚年轻男性盆腔脓性肌炎并发菌血症和双侧感染性肺栓塞的病例。