在C组链球菌毒性冲击综合征发生后的肌肉炎
Maria Pacheco1, João C Rodrigues1, Hugo R Almeida2
1Internal Medicine, Hospital Sousa Martins, Unidade Local de Saúde Guarda, Guarda, PRT.
Cureus
|March 28, 2024
概括
肌肉炎是一种深层肌肉感染,在温带气候地区越来越多地出现. 这一案例突出了在有毒冲击综合征后免疫能力强的个体中罕见的广泛双边肌肉炎的罕见实例.
科学领域:
- 传染性疾病 传染性疾病
- 细菌学 细菌学是一门学科.
- 临床医学 临床医学
背景情况:
- 肌肉炎是一种细菌性肌肉感染,历来在热带普遍存在,但由于免疫抑制等因素,在温带上升.
- 群C型 estreptococcus可以引起严重的 pyomyositis,导致毒性休克综合征和不良结果.
- 这种情况通常呈现为亚急性感染.
研究的目的:
- 报告一种罕见的广泛多焦点双边肌肉炎病例.
- 描述这种情况发生在一个免疫能力强的年轻女子身上.
- 为了突出前面的毒性休克综合征作为潜在的因素.
主要方法:
- 案例报告的呈现方式.
- 临床和微生物学数据的审查.
- 关于肌肉炎和毒性休克综合征的文献综述.
主要成果:
- 一个免疫能力强的年轻女子出现了广泛的多焦点双侧肌神炎.
- 这种情况之前是有毒休克综合征.
- 这种表现很少见,特别是在免疫能力强的宿主中.
结论:
- 肌肉炎可以发生在免疫能力强的个体中,即使在温带气候中.
- 毒性休克综合征可能会先于或伴随着严重的pyomyositis.
- 这一案例强调了在重症感染的差异诊断中考虑肌肉炎的重要性,即使是在意想不到的患者群体中也是如此.
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