PDF(Pubmed)
Abstract：
Pyomyositis which is also known as myositis tropicans is a rare condition where there is bacterial infection of the skeletal muscle. Its manifestation includes pain and tenderness of the affected muscle and general infective symptoms. It commonly occurs in immunocompromised individuals and patients with previous history of trauma to the affected muscle. We report a case of a 16-year-old boy with history of underlying bronchial asthma who presented with multiple abscesses. He underwent multiple operations to drain the infection and targeted antibiotic therapy subsequently. Despite undergoing surgical debridement, drainage and antibiotic treatment, he was still having repeated bouts of fever and his inflammatory markers were not reducing. He was then diagnosed with concurrent pulmonary tuberculosis infection which subjected him to an immunosuppressed state thus arising to the condition of pyomyositis and unresolving fever. The patient then made prompt improvement when the underlying cause of immunosuppression; pulmonary tuberculosis was treated as well.
摘要：
化脓性肌炎，也称为肌炎，是一种罕见的疾病，其中有骨骼肌的细菌感染。其表现包括受影响肌肉的疼痛和压痛以及一般感染症状。它通常发生在免疫受损的个体和先前有受累肌肉创伤史的患者中。我们报告了一例16岁男孩，有支气管哮喘病史，并伴有多发性脓肿。他接受了多次手术以引流感染，随后进行了针对性的抗生素治疗。尽管接受了手术清创术，排水和抗生素治疗，他仍然反复发烧，他的炎症指标没有减少。然后，他被诊断出并发肺结核感染，使他处于免疫抑制状态，从而引起化脓性肌炎和无法解决的发烧。然后，当免疫抑制的根本原因出现时，患者迅速改善；肺结核也得到了治疗。
