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Rehabilitation Practice and Science

Translated Title

以超音波評估原發性膿性肌炎於一位未受控制第二型糖尿病男性病患：病例報告

Abstract

A 38-year-old man with uncontrolled type 2 diabetes mellitus complained of a mild painful swelling over the right posterior thigh that had been present for 3 days. He was initially diagnosed as having a right hamstring strain. After a 7-day treatment with non-steroidal anti-inflammatory drugs, the symptoms progressed to a prominent painful swelling over the right posterior thigh. Leukocytosis and high inflammation indices were noted. The ultrasonography of the right posterior thigh showed an ill-defined heteroechoic lesion surrounded by an irregularly thick hyperechoic and hypervascular wall in the muscle layer. The diagnosis was pyomyositis of the right biceps femoris muscle, which was compatible with the finding of a subsequent magnetic resonance imaging. Incision and debridement were performed. The patient was treated with a 7-week regimen of antibiotics and recovered well, without any significant sequelae.Physicians should become more familiar with this potentially life-threatening disease and appropriately use ultrasound to aid in the early diagnosis and treatment of primary pyomyositis.

Language

English

First Page

247

Last Page

253

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