Chi Luke, Sauer Adam, Matonis Danielle
University of California, Irvine, Irvine, CA.
University of California, Irvine Medical Center, Department of Emergency Medicine, Orange, CA.
J Educ Teach Emerg Med. 2025 Apr 30;10(2):V10-V13. doi: 10.21980/J8J35G. eCollection 2025 Apr.
Soft tissue infections, including abscesses, are frequently encountered in the emergency department. However, abscesses of the inferior rectus muscle are rare and may present unique diagnostic and therapeutic challenges due to the scarcity of documented cases. This case report highlights the treatment of a 47-year-old male presenting with an abscess in the left inferior rectus muscle due to an acute Methicillin-resistant Staphylococcus aureus infection. Imaging revealed a distinct fluid collection compressing the left globe, causing restricted ocular motility and other symptoms. Despite prior intravenous antibiotics, the abscess persisted. While intravenous antibiotics are an important component of treatment, this case highlights the potential insufficiency of this approach alone, emphasizing a need for surgical intervention such as orbitotomy for drainage. This report contributes to the limited literature on inferior rectus muscle abscesses and underscores the need for further research and clinical attention to optimize patient outcomes.
Abscess, soft tissue infection, extraocular muscles, pyomyositis, Methicillin-resistant Staphylococcus aureus, proptosis, diplopia, vision loss.
软组织感染，包括脓肿，在急诊科很常见。然而，下直肌脓肿很少见，由于记录在案的病例稀缺，可能带来独特的诊断和治疗挑战。本病例报告重点介绍了一名47岁男性因急性耐甲氧西林金黄色葡萄球菌感染导致左眼下直肌脓肿的治疗情况。影像学检查显示有一个明显的液体积聚压迫左眼，导致眼球运动受限和其他症状。尽管之前使用了静脉抗生素治疗，但脓肿仍持续存在。虽然静脉抗生素是治疗的重要组成部分，但本病例突出了仅采用这种方法可能存在的不足，强调了手术干预（如眼眶切开引流）的必要性。本报告丰富了关于下直肌脓肿的有限文献，并强调需要进一步研究和临床关注以优化患者预后。
脓肿、软组织感染、眼外肌、脓性肌炎、耐甲氧西林金黄色葡萄球菌、眼球突出、复视、视力丧失。
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