PDF(Pubmed)
Abstract：
We describe a case of a previously healthy unvaccinated man in his 70s who developed penicillin-susceptible bacteraemic invasive pneumococcal disease due to non-vaccine serotype 23B with the unusual manifestations of multifocal myositis, intramuscular abscesses, polyarticular septic arthritis and synovitis. Blood cultures drawn prior to antibiotic therapy and culture of iliopsoas collection were helpful in making the diagnosis. At follow-up, he had persistent hip pain attributed to avascular necrosis of the head of femur, a possible late complication of his pyomyositis.
摘要：
我们描述了一个70年代以前健康的未接种疫苗的男子的病例，他由于非疫苗血清型23B而发展了青霉素敏感的细菌侵袭性肺炎球菌疾病，并具有多灶性肌炎的异常表现，肌内脓肿，多关节化脓性关节炎和滑膜炎。在抗生素治疗之前抽取的血液培养和收集髂腰肌的培养有助于诊断。在后续行动中,他因股骨头缺血性坏死而出现持续性髋部疼痛,可能是他化脓性肌炎的晚期并发症.
