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免疫功能正常患者的产气性脓性肌炎:一例报告及文献复习

gas-forming pyomyositis in an immunocompetent patient: a case report and review.

作者信息

Lee Jee Young, Kong Gyu Min

机构信息

Department of Microbiology, College of Medicine, Kosin University, Busan, Korea.

Department of Orthopaedic Surgery, Haeundae Paik Hospital, College of Medicine, Inje University, Busan, Korea.

出版信息

J Int Med Res. 2025 Jan;53(1):3000605241311782. doi: 10.1177/03000605241311782.

Abstract

The primary etiology of pyomyositis is predominantly , although Gram-negative bacteria may also be involved on rare occasions. The prognosis for pyomyositis caused by Gram-negative bacteria is more unfavorable than that of infections caused by Among Gram-negative bacteria, members of the Enterobacteriaceae family, including , species, and species, have the capacity to produce gas. Gas-forming myositis is a rare phenomenon that primarily affects immunocompromised patients and is associated with a poor prognosis. To the best of our knowledge, no previous reports of gas-forming pyomyositis in an immunocompetent patient exist. We herein present the first documented case of -induced gas-forming pyomyositis of the iliacus muscle in a healthy young man with no underlying diseases or comorbidities. Additionally, we reviewed cases of gas-forming pyomyositis in the literature and cases of pyomyositis caused by Gram-negative bacteria in immunocompetent patients.

摘要

脓性肌炎的主要病因主要是 ,不过革兰氏阴性菌在极少数情况下也可能参与其中。由革兰氏阴性菌引起的脓性肌炎的预后比由 引起的感染更差。在革兰氏阴性菌中,肠杆菌科成员,包括 、 菌属和 菌属,有产生气体的能力。产气性肌炎是一种罕见现象,主要影响免疫功能低下的患者,且预后不良。据我们所知,之前没有关于免疫功能正常患者发生产气性脓性肌炎的报道。我们在此报告首例记录在案的由 引起的髂肌产气性脓性肌炎病例,该患者为一名无基础疾病或合并症的健康年轻男性。此外,我们还回顾了文献中关于产气性脓性肌炎的病例以及免疫功能正常患者中由革兰氏阴性菌引起的脓性肌炎病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd03/11773598/96382bb1790b/10.1177_03000605241311782-fig1.jpg

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