Pyomyositis and fasciitis by carbapenem resistant microorganism in a patient with severe tophaceus gout
| Autor: | Lizeth Natalia Melgarejo Moreno, Jorge E. Cortes, Nario Cano Arenas, Giovana Alejandra Solano Villamarin, Andrés Fernando Rodríguez-Gutiérrez |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
030203 arthritis & rheumatology
medicine.medical_specialty Pyomyositis business.industry General Medicine Fascia Drug resistance bacterial infections and mycoses medicine.disease Gout Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Rheumatology Cellulitis medicine Septic arthritis 030212 general & internal medicine Fasciitis business Abscess |
| Zdroj: | Revista Colombiana de Reumatología. 24:265-270 |
| ISSN: | 0121-8123 |
| Popis: | Pyomyositis, defined as a suppurative muscle infection, is a rare entity that is classified as tropical or non-tropical according to the geographical region. The case of a patient with a history of severe tophaceous gouty arthritis, coming from tropical wet climate in Colombia, who presented with suggestive cellulitis, with a torpid evolution despite standard dual management. An associated abscess was documented, and initially abscessed cellulitis and septic arthritis were suspected, the latter was finally ruled out, once the muscle origin of the abscess becames evident by means of computed tomography and ultrasonography. Intraoperatively, an abscess with fascia involvement and intramuscular tophaceous disease was observed. Surgical drainage and repeated washes were required. Carbapenem resistant Klebsiella pneumoniae was isolated, requiring last-line antibiotic therapy for a prolonged period of time. |
| Databáze: | OpenAIRE |
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