肾移植受者因厌氧细菌感染导致囊性瘘管引起的广泛大腿肌炎。
Extensive thigh pyomyositis secondary to cystic fistulae due to anaerobic-bacterial infection in a kidney transplant recipient.
机构信息
Nephrology and Renal Transplantation Department, AP-HP (Assistance Publique-Hôpitaux de Paris), Henri Mondor Universitary Hospital, Créteil, F-94010, France.
Radiology Department, AP-HP (Assistance Publique-Hôpitaux de Paris), Henri Mondor Universitary Hospital, Créteil, F-94010, France.
出版信息
BMC Infect Dis. 2024 Sep 2;24(1):900. doi: 10.1186/s12879-024-09701-6.
BACKGROUND
Managing infectious complications after kidney transplantation (KT) remains a major challenge. Infections are the leading non-cardiovascular cause of death among kidney transplant recipients (KTr). The urinary tract is particularly vulnerable to infections in this group, leading to high levels of morbidity and mortality, as well as significant economic costs.
CASE PRESENTATION
This case report presents the first documented instance of extensive thigh pyomyositis resulting from cystic fistulae in an 84-year-old KTr. The patient was referred to our hospital with acute onset fever, pain in the inner thighs and pyuria. A CT scan revealed bilateral pyomyositis of the thighs, characterized by multiple abscesses in the adductor muscles and hydroaerobic levels. Additionally, cystic fistulae complicated by pubic symphysis osteitis were identified.
CONCLUSION
In KTr, lower limb pyomyositis resulting from a urinary tract infection is an extremely rare and significantly worsens the overall prognosis for these patients.
背景
管理肾移植（KT）后的感染并发症仍然是一个主要挑战。感染是肾移植受者（KTr）非心血管死亡的主要原因。在这群人中，尿路感染特别容易发生感染，导致发病率和死亡率高，以及显著的经济成本。
病例介绍
本病例报告首次记录了一例 84 岁 KTr 因囊性瘘管引起的广泛大腿肌炎。患者因急性发热、大腿内侧疼痛和脓尿被转至我院。CT 扫描显示双侧大腿肌炎，内收肌内有多个脓肿和水气囊水平。此外，还发现耻骨联合骨炎合并囊性瘘管。
结论
在 KTr 中，由尿路感染引起的下肢肌炎极为罕见，严重恶化了这些患者的整体预后。
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