Streptococcus pyogenes 근염에 심부 정맥 혈정즌이 동반한 1례
A Case of Deep Vein Thrombosis Associated with Myositis due to Streptococcus pyogenes
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초록
세균성 근염은 화농성 관절염, 봉와직염, 골수염, 혈전 정 맥염, 다발성 근염, 혈종, 좌상, 종양과 감별이 필요하며 진단 에 MRI가 도움이 된다. 저자들은 A군 사슬알균에 의한 화농성 근염을 조기에 진단하여 clindamycin으로 치료하였고 심부 정맥 혈전증까지 합병되었던 환자를 경험하였다. 성인에서는 증례로 보고된 바가 있지만 국내에서는 아직 보고가 없어 이를 보고하는 바이다.
Abstract
A 5-year-old boy was admitted to the hospital with a high fever and abnormal gait. Magnetic resonance imaging showed extensive swelling of the quadriceps and adductor muscles around the right hip and anterior thigh. A duplex scan demonstrated a thrombus from the external iliac vein to below the popliteal vein. The blood culture revealed Streptococcus pyogenes. The patient was immediately treated with antibiotics and anticoagulants. Follow-up sonography demonstrated complete disappearance of the venous thrombosis. We report a case of streptococcal myositis complicated by deep vein thrombosis.
참고문헌 (14)
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