Die nicht-tropische Pyomyositis - ein seltenes Krankheitsbild in gemäßigten Klimazonen

Zusammenfassung

Bei einer Pyomyositis handelt es sich um eine in unserer Klimazone seltene akute bakterielle Infektion der Skelettmuskulatur ohne offensichtliche lokale oder benachbarte Infektionsquelle. Zu den initialen Symptomen zählen neben Muskelschmerzen auch lokale Schwellungen und Spannungen. Die Diagnose der Pyomyositis erfolgt in aller Regel verspätet, da oft zunächst andere Ursachen in Erwägung gezogen werden. Anhand dreier Fallbeispiele wird die Diagnostik und Therapie der Pyomyositis vor dem Hintergrund der derzeitig zu diesem Thema verfügbaren Literatur diskutiert.

Abstract

Pyomyositis is in the moderate climate zone a rare and acute bacterial infection of the skeletal muscles without an obvious origin of infection. Initial symptoms contain muscle pain and localized swelling and tension. As different causes are taken into account first, the diagnosis of a pyomyositis is often delayed. We report on three cases of pyomyositis and discuss diagnosis and therapy against the background of the available and recent literature.

Schlüsselwörter

Pyomyositis - bakterielle Infektion - Staphylokokkus aureus - Skelettmuskulatur - multiple Abszesse

Key words

pyomyositis - bacterial infection - staphylococcus aureus - skeletal muscles - multiple abscesses

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