Hip & pelvis

  • 제22권4호
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  • Pages.319-322
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  • 2010
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  • 2287-3260(pISSN)
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  • 2287-3279(eISSN)
대한고관절학회 (The Korean Hip Society)
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DOI QR코드

DOI QR Code

속폐쇄근에 발생한 화농성 근염 -증례 보고-

Obturator Internus Pyomyositis - A Case Report -

  • 김도영 (한림대학교 의과대학 정형외과학교실, 골격노화연구소) ;
  • 박승재 (한림대학교 의과대학 정형외과학교실, 골격노화연구소) ;
  • 장준동 (한림대학교 의과대학 정형외과학교실, 골격노화연구소) ;
  • 남주석 (한림대학교 의과대학 정형외과학교실, 골격노화연구소) ;
  • 이상수 (한림대학교 의과대학 정형외과학교실, 골격노화연구소)
  • Kim, Do-Young (Orthopedic Surgery & Institute for Skeletal Aging, College of Medicine, Hallym University) ;
  • Park, Seung-Jae (Orthopedic Surgery & Institute for Skeletal Aging, College of Medicine, Hallym University) ;
  • Chang, Jun-Dong (Orthopedic Surgery & Institute for Skeletal Aging, College of Medicine, Hallym University) ;
  • Nam, Ju-Suk (Orthopedic Surgery & Institute for Skeletal Aging, College of Medicine, Hallym University) ;
  • Lee, Sang-Soo (Orthopedic Surgery & Institute for Skeletal Aging, College of Medicine, Hallym University)
  • 발행 : 2010.12.31
⟨ 이전 논문 다음 논문 ⟩

초록

골격근의 세균 감염으로 인한 화농성 근염은 범세계적으로 증가 추세 이며 특히 소아 및 젊은 성인 층에서 많이 보고되고 있다. 저자들은 29세 남성에게서 발견된 속폐쇄근의 화농성 근염 1예를 보고하고자 한다. 화농성 근염이 주로 하지의 근육에서 발생하기는 하지만 속폐쇄근에 국한되어 발생된 화농성 근염의 경우 진단에 많은 어려움이 있다. 조영 증강 전산화 단층 촬영 검사를 통하여 진단할 수 있었으며 수술적 치료 없이 항생제를 이용하여 치료하였다. 무엇보다도 화농성 고관절염과의 감별진단을 통한 빠른 진단이 중요하며, 화농성 근염의 임상 증상 및 치료를 문헌 고찰과 함께 보고하는 바이다.

Pyomyositis is a primary bacterial infection of skeletal muscle and this is on the increase worldwide among children as well as young adults. We report herein on a case of a 29-year-old male with pyomyositis of the obturator internus. The fact that pyomyositis predominantly affects the muscles of the lower limb and it is confined to the obturator internus muscle has been poorly recognized. CT with an enhancement was an accurate imaging modality to image the obturator internus muscle and to ascertain the diagnosis for this case. The patient was managed with antibiotics and surgical intervention was not necessary. Pyomyositis of the obturator internus muscle needs to be differentiated from septic arthritis of the hip. The present study reports the clinical signs and treatments of pyomyostis and we review the relevant literature.

키워드

참고문헌

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