Terra L, Pellicanò S, Milano M
Divisione di Malattie Infettive, Ospedale S. Giovanni di Dio, Regione Calabria, ASL n. 5, Crotone.
Minerva Med. 1997 Dec;88(12):533-5.
Tropical pyomyositis is an infection of large muscle groups that can lead to sepsis and death. The most common etiologic agent is Staphylococcus aureus. It usually occurs in patients living in the tropics but is seen with increasing frequency in temperate climates, particularly in immunosuppressed patients, where it may be misdiagnosed and may cause severe morbidity and mortality. Diagnosis is based on the examination of pus from a muscle aspirate and treatment consists of surgical incision, drainage and appropriate antibiotic therapy. It is stressed to take into account pyomyositis in the differential diagnosis of immunocompromised patients with "cryptic" myalgia.
热带脓性肌炎是一种累及大肌群的感染性疾病，可导致脓毒症和死亡。最常见的病原体是金黄色葡萄球菌。它通常发生在居住在热带地区的患者中，但在温带气候地区的发病率也在增加，尤其是在免疫抑制患者中，这类患者可能会被误诊，且可能导致严重的发病和死亡。诊断基于对肌肉穿刺抽出的脓液进行检查，治疗包括手术切开、引流和适当的抗生素治疗。强调在对有“隐匿性”肌痛的免疫功能低下患者进行鉴别诊断时要考虑到脓性肌炎。
