Meehan Anne M, Joyce Jeremiah B, Tande Aaron J
Division of Hospital Medicine, Mayo Clinic Rochester Minnesota, United States of America.
Department of Psychiatry and Psychology, Mayo Clinic Rochester Minnesota, United States of America.
IDCases. 2023 Feb 19;31:e01721. doi: 10.1016/j.idcr.2023.e01721. eCollection 2023.
Pyomyositis due to Gram negative bacteria is rare. Here we describe two cases in immunocompromised hosts Both were bacteremic with a Gram-negative bacterium and had impaired immunity related to prolonged and ongoing chemotherapy for hematologic malignancies. Both eventually cleared the infection with a combination of local drainage and systemic antibiotics. This unusual diagnosis should be considered in an immunocompromised patient with muscle pain and fever.
革兰氏阴性菌引起的脓性肌炎较为罕见。在此,我们描述了两例免疫功能低下宿主的病例。两例患者均因革兰氏阴性菌发生菌血症,且因血液系统恶性肿瘤接受长期持续化疗而导致免疫功能受损。两例患者最终均通过局部引流和全身使用抗生素的联合治疗清除了感染。对于出现肌肉疼痛和发热的免疫功能低下患者,应考虑这种不常见的诊断。