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KRONİK BÖBREK YETMEZLİKLİ BİR HASTADA METİSİLİN DİRENÇLİ STAPHYLOCOCCUS AUREUS (MRSA) İNFEKSİYONUNA BAĞLI PARASPİNAL KAS ABSESİ

PARASPINAL MUSCLE ABSCESS DUE TO METfflCILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (MRSA) IN A PATIENT WITH CHRONIC RENAL FAILURE

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 2002

Key Words:

Keywords (Original Language):

Author NameUniversity of Author
Abstract (2. Language): 
A patient with diabetic nephropathy admitted with complaints offever and severe back pain. Lumbar computerized tomography and magnetic resonance imaging disclosed paraspinal muscle abscess. Inoculatioiis of the aspirate yielded growth of methicillin-resistant Staphylococcus aureus. Therapy involved surgical evacuation and appropriate antibiotic resulted in a favorable outcome. Because of suppressed immune system, patients with chronic renal failure and diabetes are susceptible to infections. Pyomyositis is a primary infection of skeletal muscle that rapidly leads to abscess formation. Staphylococcus aureus is the most common pathogen. Pyomyositis is relatively uncommon in temperate climates. In temperate climates it is seen especially in immunocompromisedpatients. Here we report a case of paraspinal pyomyositis with abscess formation in an immunocompromised patient demonstrating typical aspects of diagnosis and treatment.
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Abstract (Original Language): 
Diabetik nefropatili bir hasta ateş ve bel ağrısı yakınmalarıyla başvurdu. Lumbar bilgisayarlı tomografi ve magnetic rezonans görüntüleme ile paraspinal kas apsesi saptandı. Aspirasyon materyalinde metisilin dirençli Staphylococcus aureus üredi. Cerrahi yöntemle apse boşaltıldı. Hasta uygun antibiyotik ile başarılı bir şekilde tedavi edildi. Kronik böbrek yetmezliği ve diabet hastaları baskılanmış bağışıklık sistemi nedeniyle infeksiyonlara daha duyarlıdırlar. Pyomyozit, iskelet kasının primer infeksiyonudur. Hızlı bir şekilde apse oluşumuna yol açar. En sık etkeni Staphylococcus aureus'tur. Pyomyozit ılıman iklimlerde nadiren görülür. Bu hastalık ılıman iklimlerde özellikle immün yetmezlikti hastalarda ortaya çıkar. Burada immün yetmezlikli bir hastada apse oluşumu ile seyreden paraspinal pyomyozit olgusu sunuyoruz.
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  • 1
56-58
  • Turkish

REFERENCES

References: 

1. Deresiewicz RL, Parsonnet J. Staphylococcal infections. In: Fauci S A (ed), Harrison's Principles of Internal Medicine 14th Edition. The Mc-Graw-Hill Companies, New York 1998, voll.pp 875-885.
2. Lazarus JM, Brenner BM. Chronic renal failure. In: Fauci SA (ed), Harrison's Principles of Internal Medicine 14th Edition. The Mc-Graw-Hill Companies, New York 1998, vol 2, pp 1513-1520.
3. Jimenez-Mejias ME, Lozano de Leon F, Alfaro-Garcia MJ, Femandez-Lopez A, Jimenez-Ocana C, Canas Garcia-Otero E, Pachon-Diaz J. Pyomyositis caused by Staphylococcus aureus. Med Clin (Bare) 1992; 99(6): 201¬5.
4. Silva J, Mason DH. Current therapy of infections involving the central nervous system. In: Schneider RC. Kahn EA, Crosby EC, Taren JA (eds), Correlative Neurosurgery 3 rd Edition. Charles C Thomas Publisher, Springfield Illinois 1982, vol l,pp 429-448.
5. Cook NJ, Hanrahan P, Song S. Paraspinal abscess following facet joint injection. Clin. Rheumatol 1999; 18 (1): 52-3.
6. Swartz MN. Myositis. In: Mandell GL, Dolin R,
Bennett JE (eds), Principles and Practice of Infectious Diseases 4th Edition. Churchill Livingstone Company, New York 1995, vol 1, pp 929-930.
7. Loveless MO. Pyomyositis. In: Hoeprich PD, Jordan MC, Ronald AR (eds), Infectious Diseases 5th Edition. J.B. Lippincott Company, Philadelphia. 1994, pp 1374-1377.
8. Hossain A, Reis ED, Soundararajan K, Kerstein MD, Hollier LH. Nontropical pyomyositis: Analysis of eight patients in an urban center. Am Surg 2000; 66(11): 1064-6.
9. Korzets A, Weinstein T, On Y, Goren M, Chagnac A, Hermann M, Zevin D, Gafter U. Back pain and Staphylococcal bacteremia in hemodialysed patients-
beware!. Nephrol Dial Transplant 1999; 14:483-486.
10. Rodriquez Jomet A, Fort J, Bartoleme J, Olmos A. Non-tropical pyomyositis in hemodialysis. Med Clin (Bare) 1984; 21; 82(15): 692-3.
11. Cecil M, Dimar JR. Paraspinal pyomyositis, a rare cause of severe back pain . Am J Orthop 1997; 26(11): 785-7.
12. Reihsaus E, Waldbaur H, Seeling W: Spinal epidural abscess: a meta-analysis of 915 patients. Neurosurg Rev
2000; 232: 175-204.

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