PDF(Pubmed)
Abstract：
BACKGROUND: The formation of abscesses with necrosis within large, striated muscles leads to pyomyositis, a condition relatively rarely encountered outside the tropics. Intravenous drug users and other immunocompromised individuals are predisposed toward this infection, which may occur due to local or haematogenous spread of infection to skeletal muscles previously damaged by trauma, exercise, or rhabdomyolysis.
METHODS: We report a young male intravenous drug user with rhabdomyolysis due to use of a synthetic opioid, in whom disseminated pyomyositis was detected following evaluation for sciatic and radial neuropathies and Horner\'s syndrome and review available reports of peripheral nerve dysfunction in the setting of this uncommon infection. We searched online databases to identify all published reports on adult patients with pyomyositis complicated by peripheral nerve dysfunction.
CONCLUSIONS: Peripheral nerve dysfunction may rarely occur via local spread of infection or compression from abscesses.
METHODS: We report a young male intravenous drug user with rhabdomyolysis due to use of a synthetic opioid, in whom disseminated pyomyositis was detected following evaluation for sciatic and radial neuropathies and Horner\'s syndrome and review available reports of peripheral nerve dysfunction in the setting of this uncommon infection. We searched online databases to identify all published reports on adult patients with pyomyositis complicated by peripheral nerve dysfunction.
CONCLUSIONS: Peripheral nerve dysfunction may rarely occur via local spread of infection or compression from abscesses.
摘要：
背景：大范围内脓肿伴坏死的形成，横纹肌导致化脓性肌炎，在热带以外很少遇到的情况。静脉吸毒者和其他免疫功能低下的个体倾向于这种感染，这可能是由于感染局部或血源性传播到先前因创伤而受损的骨骼肌，锻炼,或者横纹肌溶解症.
方法：我们报告了一名年轻男性静脉吸毒者，因使用合成阿片类药物而出现横纹肌溶解症，在对坐骨神经和radial神经病和Horner综合征进行评估后，发现了播散性化脓性肌炎，并回顾了在这种罕见感染情况下周围神经功能障碍的现有报告。我们搜索了在线数据库，以确定所有已发表的有关化脓性肌炎并发周围神经功能障碍的成年患者的报告。
结论：周围神经功能障碍可通过感染或脓肿压迫的局部扩散而发生。
方法：我们报告了一名年轻男性静脉吸毒者，因使用合成阿片类药物而出现横纹肌溶解症，在对坐骨神经和radial神经病和Horner综合征进行评估后，发现了播散性化脓性肌炎，并回顾了在这种罕见感染情况下周围神经功能障碍的现有报告。我们搜索了在线数据库，以确定所有已发表的有关化脓性肌炎并发周围神经功能障碍的成年患者的报告。
结论：周围神经功能障碍可通过感染或脓肿压迫的局部扩散而发生。
