Giladi M, Sada M J, Spotkov J, Bayer A S
Division of Infectious Diseases, UCLA School of Medicine, USA.
Isr J Med Sci. 1996 Sep;32(9):771-4.
A 39-year-old man was admitted to the hospital with fever and right hip pain. CT scan of the pelvis showed a psoas muscle abscess. Pus, which was surgically evacuated, grew Streptococcus pneumoniae. The patient fully recovered after 30 days of intravenous antibiotics. Review of the literature revealed only nine similar cases of primary pneumococcal psoas abscess. Three cases were complicated with pneumococcal meningitis. In four cases there was a history of trauma to the involved area. Pneumococcal psoas abscess is a rare entity that carries a good prognosis provided early surgical drainage is performed and parenteral antibiotic therapy is administered to the patient.
一名39岁男性因发热和右髋部疼痛入院。骨盆CT扫描显示腰大肌脓肿。手术引流排出的脓液培养出肺炎链球菌。患者经30天静脉抗生素治疗后完全康复。文献回顾仅发现9例类似的原发性肺炎球菌性腰大肌脓肿病例。3例并发肺炎球菌性脑膜炎。4例在受累区域有外伤史。肺炎球菌性腰大肌脓肿是一种罕见疾病，只要早期进行手术引流并给予患者肠外抗生素治疗，预后良好。
