PYOMYOSITIS IN A TEMPERATE CLIMATE - PRESENTATION, DIAGNOSIS, AND TREATMENT

被引:108
作者
HALL, RL [1 ]
CALLAGHAN, JJ [1 ]
MOLONEY, E [1 ]
MARTINEZ, S [1 ]
HARRELSON, JM [1 ]
机构
[1] DUKE UNIV,MED CTR,DIV ORTHOPAED SURG,DURHAM,NC 27710
关键词
D O I
10.2106/00004623-199072080-00018
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The cases of eighteen patients who were treated for pyomyositis between 1970 and 1988 were evaluated. The diagnosis was often delayed because other primary diagnoses were considered, including muscle strain, synovitis, thrombophlebitis, and neoplasm, and because the symptoms were vague and prolonged (maximum duration, one year). The muscles around the hip and thigh were most commonly involved (twelve patients), and Staphylococcus aureus most commonly grew on culture (twelve patients). Computed tomography aided in the accurate diagnosis of the infection and of the extent of involvement. Incision, drainage, and antibiotic therapy eradicated the infection in all patients, and they had no residual functional limitations and minimum residual symptoms.
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页码:1240 / 1244
页数:5
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