Oktay BELHAN, Murat GÜRGER, Lokman KARAKURT, Tarık ALTUNKILIÇ, Mehmet KAYA, Hüseyin ÖZDEMIR

Nadir Görülen Primer Piyomiyozitli İki Olgu

Primer piyomiyozit iskelet kasının piyojenik enfeksiyonudur. Tropikal ve subtropikal bölgelerde sık görüldüğü halde ılıman iklimli bölgelerde nadirdir. Bu çalışmada, Staphylococcus aureus’a bağlı gelişen sol uylukta adduktor kas grubuna, diğer olguda ise biseps kasına lokalize olan, nadir görülen primer piyomiyozitli iki olgu tartışıldı. İlk olguda; 72 yaşındaki erkek hastanın sol uyluğunda kitle ve ağrı şikayeti mevcuttu. İkinci olgu ise, on bir yaşında kız çocuğu, travma öyküsü olmaksızın, sol kolunda ağrı ve dirseğinde hareket kısıtlılığı nedeniyle ile kliniğimize başvurdu. Olgular klinik, laboratuar ve radyolojik olarak değerlendirildi. Kasların iğne aspirasyonlarında sarı renkli pürülan mayi aspire edildi. Primer piyomiyozit klinik tanısı konuldu. Cerrahi drenaj yapılıp antibiyoterapi başlandı. Ameliyattan sonra, olguların klinik semptomlarında ve laboratuar değerlerinde düzelme tespit edildi.©2008, Fırat Üniversitesi, Tıp Fakültesi

Anahtar Kelimeler:

Primer piyomiyozit, staphylococcus aureus, cerrahi drenaj, antibiyoterapi

Two cases with rare primary pyomyositis

Primary pyomyositis is the pyogenic infection of the skeleton muscle. While it is often seen in tropical and subtropical regions, it is rare in temperate regions. In this study, two incidents were discussed. One of them was in the adductor muscle group in left thigh developed due to Staphylococcus aureus, and the other incident was a rarely seen primary pyomyositis localized to the biceps muscle. In the first case, 72-year-old male patient complained that he had mass and pain in his left thigh. The second case, an 11-year-old girl, was consulted to our clinic owing to the pain in her left arm and restriction on her elbow mobility without a trauma history. Findings were evaluated in clinical, laboratory and radiological aspects. In the aspiration of the muscles, yellow purulent fluid was aspired. She was clinically diagnosed with primary pyomyositis. Following the surgical drainage, anti-biotic treatment was started. After the operation, an improvement in the clinical symptoms and laboratory values of the patients were determined.©2008, Firat University, Medical Faculty.

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Kabul Tarihi:25.03.2008