Department of Internal Medicine, Division of Rheumatology, Dokuz Eylul University School of Medicine, İzmir, Turkey.
Department of Radiology, Dokuz Eylul University School of Medicine, İzmir, Turkey.
Clin Exp Rheumatol. 2020 Sep-Oct;38 Suppl 127(5):98-100. Epub 2020 Oct 19.
Salmonella infections usually present with gastrointestinal manifestations including enterocolitis especially in immunocompromised patients. Haematogenous dissemination and abscesses are very rare complications of Salmonella species. This case report documents a patient with Behçet's syndrome (BS) who has pyomyositis due to Salmonella species. A 43-year-old male patient with BS presented to the outpatient rheumatology clinic with bilateral acute-onset lower extremity pain. However, over a short time the pain gradually increased and was accompanied by fever. The magnetic resonance scans demonstrated pyomyositis and muscle abscess in the adductor and obturator muscles. The cultures showed Salmonella enteritidis infection. The patient was successfully treated with antibiotic therapy. This case is important since it is one of the first in the literature to report an adult patient with BS and Salmonella pyomyositis.
沙门氏菌感染通常表现为胃肠道症状，包括肠炎，尤其是在免疫功能低下的患者中。菌血症播散和脓肿是沙门氏菌属非常罕见的并发症。本病例报告记录了一例贝切特综合征（BS）患者，该患者因沙门氏菌引起的肌炎。一名 43 岁男性 BS 患者因双侧急性下肢疼痛就诊于门诊风湿病科。然而，短时间内疼痛逐渐加重，并伴有发热。磁共振扫描显示内收肌和闭孔肌肌炎和肌脓肿。培养显示肠炎沙门氏菌感染。患者经抗生素治疗后成功治愈。该病例很重要，因为它是文献中首例报道成人 BS 和沙门氏菌肌炎的病例之一。
