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Zentralbl Chir 2005; 130(6): 589-593
DOI: 10.1055/s-2005-918159
Der interessante Fall

© Georg Thieme Verlag Stuttgart · New York

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

The Non-Tropical Pyomyositis - A Rare Disease in the Moderate Climate ZoneK. Schmidt1 [*] , M. Büter1 [*] , D. Bussen1 , A. Thiede1
  • 1Klinikum der Julius-Maximilians-Universität Würzburg, Zentrum Operative Medizin, Chirurgische Klinik I und II, Würzburg
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Publication History

Publication Date:
29 December 2005 (online)

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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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1 gleichberechtigte Erstautoren

Dr. med. K. Schmidt

Klinikum der Julius-Maximilians-Universität Würzburg · Zentrum Operative Medizin · Chirurgische Klinik II

Oberdürrbacher Str. 6

97080 Würzburg

Phone: 09 31/20 10

Email: karsten.schmidt@mail.uni-wuerzburg.de

Dr. med. M. Büter

Klinikum der Julius-Maximilians-Universität Würzburg · Zentrum Operative Medizin · Chirurgische Klinik I

Oberdürrbacher Str. 6

97080 Würzburg

Phone: 09 31/20 10

Email: bueter_m@chirurgie.uni-wuerzburg.de