Journal of Trauma and Injury

  • 제19권1호
  • /
  • Pages.81-88
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  • 2006
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  • 2799-4317(pISSN)
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  • 2287-1683(eISSN)
대한외상학회 (The Korean Society of Traumatology)
권호 표지

응급실로 내원한 외상성 화농성 근염 환자의 분석

Clinical Analysis of Traumatic Pyomyositis in Emergency Patients

  • 나지웅 (삼성서울병원 응급의학과) ;
  • 송형곤 (삼성서울병원 응급의학과)
  • Na, Ji Ung (Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Song, Hyoung Gon (Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 투고 : 2006.06.27
  • 심사 : 2006.07.24
  • 발행 : 2006.06.30
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초록

Purpose: Pyomyositis is a rare disease in temperature climate region. The diagnosis of pyomyositis is often delayed, and pyomyositis is often misdiagnosed in the emergency department. Methods: The medical records of 11 patients who were diagnosed as having traumatic pyomyositis in the emergency department at Samsung Medical Center in Seoul, Korea, between 2000 and 2006 were reviewed. Their clinical features, such as history, symptoms, clinical findings, duration from onset of symptoms to diagnosis, medical history, laboratory data, results of imaging studies and clinical course were collected. Results: The psoas muscles were most commonly involved. Computer tomography and magnetic resonance imaging aided in accurate diagnosis of the infection and of the extent of involvement. Incision, drainage, and antibiotics therapy eradicated the infectioin in all patients Conclusion: Pyomyositis should be a part of the differential diagnosis for patients with traumatic muscle pain. Radiologic evaluation, such as computer tomography and magnetic resonance imaging, must be considered in the diagnosis of traumatic pyomyositis.

키워드

참고문헌

  1. Horn CV, Master S. Pyomyositis tropicans in Uganda. East Afr Med J 1968;45:463-71
  2. Trotter JL, Doyle JR. Tropical myositis, the great imitator: a case report. Hawaii Med J 1988;47:468
  3. Levin MJ, Gardner P, Waldvogel FA. An unusual infection due to Staphylococcus aureus. N Engl J Med 1971;284:196-8 https://doi.org/10.1056/NEJM197101282840407
  4. Rodgers WB, Yodlowski ML, Mintzer CM. Pyomyositis in patients who have the human immunodeficiency virus. Case report and review of the literature. J Bone Joint Surg Am 1993;75:588-92 https://doi.org/10.2106/00004623-199304000-00013
  5. Hall RL, Callaghan JJ, Moloney E, Martinez S, Harrelson JM. Pyomyositis in a temperate climate. Presentation, diagnosis and treatment. J Bone Joint Surg Am 1990;72:1240-4 https://doi.org/10.2106/00004623-199072080-00018
  6. Mirales GP, Bregman Z. Necrotizing pyomyostitis caused by Mycobacterium avium complex in a patient with AIDS. Clin Infect Dis 1994;18:833-4 https://doi.org/10.1093/clinids/18.5.833
  7. Chiedozi LC. Pyomyositis. Review of 205 cases in 112 patients. Am J Surg 1979;137:225-9
  8. Falasca GF, Reginato AJ. The spectrum of myositis and rhabdomyolysis associated with bacterial infection. J Rheumatol 1994;21:1932-7
  9. Hernandez Rodriguez I, Fernandez-Martin J. Primary pyomyositis. Two more cases with atypical presentation in diabetic hosts. Br J Rheumatol 1995;34:482-3
  10. Christin L, Sarosi GA. Pyomyositis in North America: case reports and review. Clin Infect Dis 1992:15:668-77
  11. Collazos J, Fernandez A, Marinez E, Mayo J, de le Vinda JM. Pneumococcal pyomyositis. Case report, review of the literature, and comparision with classic pyomyositis caused by other bacteria. Arch Intern Med 1996;156:1470-4 https://doi.org/10.1001/archinte.156.13.1470
  12. Fleckenstein JL, Burns DK, Murphy FK, Jayson HT, Bonte FJ. Differential diagnosis of bacterial pyomyositis in AIDS: evaluation with MR imaging. Radiology 1991;179:653-8 https://doi.org/10.1148/radiology.179.3.2027969
  13. Spiegel DA, Meyer JS, Dormans JP, Flynn JM, Drummond DS. Pyomyositis in children and adolescents: Report of 12 cases and review of the literature. J Pediatr Orthop 1999;19:143-50 https://doi.org/10.1097/00004694-199903000-00002
  14. Yagupsky P, Shahak E, Barki Y. Non-invasive diagnosis of pyomyositis. Clin Pediatr 1988;27:299-301 https://doi.org/10.1177/000992288802700610
  15. Pretorius ES, Hruban RH, Fishman EK. Tropical pyomyositis: imaging findings and a review of the literature. Skeletal Radiol 1996;25:576-9 https://doi.org/10.1007/s002560050139
  16. Paajanen H, Grood W, Revel D, Engelstad B, Brasch RC. Galdolinium-DTPA enhanced MRI of intramuscular abscesses. Magnetic Resonance Imaging 1987;5:109-15 https://doi.org/10.1016/0730-725X(87)90040-3
  17. Royston DD, Cremin BJ. The ultrasonic evaluation of psoas abscess (tropical pyomyositis) in children. Pediatr Radiol 1994;24:481-3. https://doi.org/10.1007/BF02020157
  18. Grose C. Bacterial myositis and pyomyositis. In: Feigin RD, Cherry JD eds. Textbook of pediatric infectious diseases. 4thed. Philadelphia: Saunders, 1998:704-8
  19. Gibson RK, Rosenthal SJ, Lukert BP. Pyomyositis. Increasing recognition in temperature climates. Am J Med 1984;77:768-72 https://doi.org/10.1016/0002-9343(84)90383-8
  20. Sharif HS, Clark DC, Aabed MY, Aideyan OA, Haddad MC, Mattsson TA. MR imaging of thoracic and abdominal wall infections: comparison with other imaging procedures. AJR Am J Roentgenol. 1990;154:989-95 https://doi.org/10.2214/ajr.154.5.2138843
  21. Soler R, Rodriguez E, Aguilera C, Fernandez R. Magnetic resonance imaging of pyomyositis in 43 cases. Eur J Radiol. 2000;10:59-64 https://doi.org/10.1007/s003300050007
  22. Hossain A, Reis ED, Soundararajan K, Kerstein MD, Hollier LH. Nontropical pyomyositis: analysis of eight patients in an urban center. Am Surg 2000;66: 1064-6
  23. Patel SR, Olenginski TP, Perruquet JL, Harrington TM. Pyomyositis: clinical features and predisposing conditions. J Rheumatol 1997;24:1734-8
  24. Gomez-Reino JJ, Aznar JJ, Pablos JL, Diaz-Gonzalez F, Laffon A. Nontropical pyomyositis in adults. Semin Arthritis Rheum 1994;23:396-405 https://doi.org/10.1016/0049-0172(94)90090-6
  25. Drosos G. Pyomyositis. A literature review. Acta Orthop. Belg. 2005:71:9-16
  26. Park CB, Kim KS, Shin JH, Suh Gj, Youn YK. Clinical presentations, Diagnosis, and Treatments of a Psoas Abscess. J Korean Soc Emerg Med 2005:16:346-51