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Development of an Iliacus Muscle Abscess after School Exercise in a 17-Year-Old Female Student
Case Reports in Orthopedic Research Pub Date : 2021-04-15 , DOI: 10.1159/000509705
Yoshiyuki Tokuyama , Manabu Arai , Kentaro Yamano , Tomoya Masada , Shinsaku Imashuku

Primary psoas abscess is due largely to hematogenous or lymphatic spread under immunocompromised conditions, whereas secondary psoas abscess is due largely to direct spread from adjacent infected structures. Trauma or hematoma within the muscle may predispose to the development of a primary abscess, especially if infection is present prior to injury, despite the absence of previous signs or symptoms of infection. This report describes a 17-year-old female high school student who developed an abscess within her iliacus muscle due to methicillin-susceptible Staphylococcus aureus after running 3 km on a hill as a school exercise. She was positive for antinuclear antibody and had had atopic dermatitis, suggesting that these factors, as well as exercise-related minor trauma or hematoma within the muscle, may have predisposed to abscess formation. She was treated with appropriate antibiotics and surgical drainage, resulting in recovery after 4 weeks.
Case Rep Orthop Res 2021;4:62–66


中文翻译:

17岁女学生学校运动后I骨肌肉脓肿的发生

原发性脓肿脓肿主要是由于免疫受损条件下的血源性或淋巴扩散引起的,而继发性脓肿脓肿主要是由于邻近感染结构的直接扩散引起的。肌肉内的创伤或血肿可能会诱发原发性脓肿,尤其是在受伤前存在感染的情况下,尽管以前没有感染的迹象或症状。该报告描述了一名17岁的女高中生,由于甲氧西林敏感性金黄色葡萄球菌而在肌内形成脓肿在山上跑步3公里后,作为一项学校练习。她的抗核抗体阳性,并患有特应性皮炎,表明这些因素以及与运动有关的轻微外伤或肌肉内血肿可能是脓肿形成的诱因。她接受了适当的抗生素治疗和外科引流,导致4周后恢复。
Case Rep Orthop Res 2021; 4:62–66
更新日期:2021-04-15
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