PDF(Pubmed)
Abstract：
Pyomyositis is a pyogenic infection of skeletal striated muscle, usually found in tropical areas, often in immunocompromised patients. We report a new observation of a nontropical Enterobacter pyomyositis occurring in an immunocompetent female in Tunisia. A 53-year-old patient presented with acute fever and intense myalgia in the right thigh. On clinical examination she had an altered general condition, a fever at 40°C and an important swelling of the lateral side of the right thigh. In biology, she had an inflammatory syndrome. Blood culture had identified Enterobacter. Muscle magnetic resonance imaging showed diffuse inflammatory involvement of the vastus lateralis muscle of the right quadriceps associated with edematous infiltration of subcutaneous fatty tissues. Diagnosis of pyomyositis was retained. Antibiotic therapy initially probabilistic and then adapted to the antibiogram was initiated with a favorable outcome. Although rare outside the tropics, the potential severity of pyomyositis encourages its better knowledge.
摘要：
化脓性肌炎是骨骼横纹肌的化脓性感染，通常在热带地区发现，通常在免疫功能低下的患者中。我们报告了突尼斯一名免疫功能正常的女性发生的非热带肠杆菌化脓性肌炎的新观察。一名53岁的患者出现急性发烧和右大腿剧烈肌痛。在临床检查中，她的一般状况发生了变化，在40°C发烧和右大腿外侧的重要肿胀。在生物学中,她得了炎症综合症.血培养已鉴定出肠杆菌。肌肉磁共振成像显示，右股四头肌的股外侧肌弥漫性炎症受累，并伴有皮下脂肪组织的水肿浸润。保留了化脓性肌炎的诊断。最初是概率性的，然后适应抗菌谱的抗生素治疗开始，结果良好。尽管在热带地区以外很少见，脓性肌炎的潜在严重程度鼓励其更好的知识。
