- 期刊
Pyomyositis in an Apparently Healthy Man: A Case Report
自發性膿肌症
摘要
典型的膿肌症是因細菌侵入骨骼肌所造成，大都發生於熱帶區域。台灣位屬於亞熱帶，此症並不常見。由於大多數的醫師並不熟悉此症，診斷多有延誤。膿肌症在大部份的病人身上難以找到確切的感染源，可能是由潛在性的感染源經血路散播所致。金黃色葡萄球菌為最常見的致病菌。本例膿肌症發生於一位原本健康的68歲男性，最初是因右側小腿疼痛經診斷為血栓性靜脈炎而由心臟科收治。後來經螺旋式電腦斷層確立診斷，並且利用其重組功能得以及定位腓腸肌膿瘍的大小和方位。病患經手術及適當的抗生素治療後而痊癒。希望借此病例，能讓位於亞熱帶的臨床醫師對膿肌症有更進一步的認識以利早期診斷及治療。
關鍵字
無資料並列摘要
Pyomyositis characterized by bacterial infection of the skeletal muscle is a common infection in the tropics, but rare in the subtropical and temperate climates. It is considered to be the result of hematogenous seeding from an occult focus. Staphylococcus aureus is the most common causative agent. The diagnosis is often overlooked or delayed on account of under-recognition of this disease. This article presents an uncommon case of pyomyositis in an apparently healthy man with atypical presentations, involving the muscle of right gastrocnemius. The spiral computerized tomography scan taking the advantage of reconstructed function in defining the abscess especially is emphasized. It is hoped that the more recognition of this disease in clinic will lead to making early diagnosis and adequate treatment to all those suffered from pyomyositis in the subtropics.
延伸閱讀
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