METHODS: A 23-year-old male underwent reduction and fixation of his right tibiae shaft fracture with an intramedullary nail. After several referrals to the emergency room due to recurrent symptoms of fever and groin pain, he was finally admitted and diagnosed with OIM and AB abscess and fulminant MRSA sepsis. The operative treatment was performed by addressing the abscess with an unusual combined surgical approach (Smith-Peterson and modified Stoppa) for abscess drainage.
METHODS: Using PubMed, Google scholar and Hadassah Hebrew University search engines, we conducted a literature search using the following keywords: \'pyomyositis\', \'obturator abscess\', \'pelvic abscess\', and \'pelvic osteomyelitis among children and adults\'. Twenty case studies were found (14 children and 6 adults). No cases of combined OIM and AB abscess were found and only one OIM case was reported with methicillin-resistant Staphylococcus (MRSA).
方法:一名23岁男性接受了用髓内钉复位和固定他的右胫骨干骨折。由于反复出现发烧和腹股沟疼痛的症状,多次转诊至急诊室后,最终入院并诊断为OIM和AB脓肿以及暴发性MRSA脓毒症.手术治疗是通过采用不寻常的联合手术方法(Smith-Peterson和改良的Stoppa)进行脓肿引流来解决脓肿。
方法:使用PubMed,谷歌学者和哈达萨希伯来大学搜索引擎,我们使用以下关键词进行了文献检索:\'化脓性肌炎\',\'闭孔脓肿\',\'骨盆脓肿\',和“儿童和成人的骨盆骨髓炎”。发现了20个案例研究(14名儿童和6名成人)。未发现合并OIM和AB脓肿的病例,仅报告了1例耐甲氧西林葡萄球菌(MRSA)的OIM病例。