Methicillin-resistant <i>Staphylococcus aureus</i>-induced pyomyositis that emerged during recovery from drug-induced pancytopenia

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  • KOBAYASHI Shinichi
    Division of Hematology, Department of Internal Medicine, National Defense Medical College
  • KIMURA Fumihiko
    Division of Hematology, Department of Internal Medicine, National Defense Medical College
  • OGURA Kazuto
    Department of Rheumatology and Hematology, Aomori Prefectural Hospital
  • KOBAYASHI Ayako
    Division of Hematology, Department of Internal Medicine, National Defense Medical College
  • TORIKAI Hiroki
    Division of Hematology, Department of Internal Medicine, National Defense Medical College
  • IKEDA Takashi
    Division of Hematology, Department of Internal Medicine, National Defense Medical College
  • SATO Ken
    Division of Hematology, Department of Internal Medicine, National Defense Medical College
  • SAIONJI Katsu
    Department of Laboratory Medicine, National Defense Medical College
  • ITO Teruyo
    Department of Bacteriology, School of Medicine, Juntendo University
  • SAITO Daizo
    Division of Basic Traumatology, National Defense Medical College Research Institute, National Defense Medical College
  • MOTOYOSHI Kazuo
    Division of Hematology, Department of Internal Medicine, National Defense Medical College

Bibliographic Information

Other Title
  • 薬剤起因性汎血球減少症の改善に伴い急激に顕在化したMRSA化膿性筋炎
  • ヤクザイ キインセイ ハンケッキュウ ゲンショウショウ ノ カイゼン ニ トモナイ キュウゲキ ニ ケンザイカシタ MRSA カノウセイ キンエン

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Abstract

Pyomyositis is a purulent infection of skeletal muscle characterized by fever, localized muscle pain and stiffness, swelling and tenderness. Hematological disorder is one of the predisposing conditions for the development of pyomyositis. A 54-year-old man developed methicillin-resistant Staphylococcus aureus pyomyositis during drug-induced pancytopenia. Debridement of the infection foci combined with antimicrobial agents proved effective even in the advanced stage of the disease. In patients with hematological disorders, pyomyositis should be considered when evaluating local myalgia and high fever because this disease can be very difficult to identify and can become rapidly progressive under a myelosuppressive condition.

Journal

  • Rinsho Ketsueki

    Rinsho Ketsueki 49 (1), 55-58, 2008

    The Japanese Society of Hematology

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