Zusammenfassung
\textlessAbstractText Label="BACKGROUND" NlmCategory="BACKGROUND"\textgreaterTo our best knowledge, Panton-Valentine leucocidin (PVL)-positive methicillin-sensitive Staphylococcus aureus (MSSA) has not been described yet as cause for severe pyomyositis.\textless/AbstractText\textgreater
\textlessAbstractText Label="CASE REPORT" NlmCategory="METHODS"\textgreaterWe present a 23-year-old apparently healthy male patient without any typical predisposing findings who developed severe pyomyositis secondary to an operated pilonidal cyst. In the follow-up, the patient showed signs of immunocompromisation. The causative agent for purulent infection of multiple muscles was a MSSA strain harbouring PVL toxin.\textless/AbstractText\textgreater
\textlessAbstractText Label="RESULTS" NlmCategory="RESULTS"\textgreaterIn the reported case, aggressive antibiotic and surgical treatment with additional application of immunoglobulins has lead to recovery from the disease without relapse.\textless/AbstractText\textgreater
\textlessAbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS"\textgreaterPVL-positive S. aureus are associated with skin diseases, multiple abscesses and often complicated by severe sepsis and necrotising pneumonia. Under such circumstances, the mortality rate can reach up to 75\%. In addition, the PVL toxin can cause immunocompromisation and might be therefore involved in the aetiology of pyomyositis. Aggressive antibiotic and surgical treatment with additional application of immunoglobulins is recommended for treatment.\textless/AbstractText\textgreater
- abscess,
- adult,
- ag_horn
- aureus,
- bacterial
- bacteriological
- buttocks,
- complications,
- debridement,
- diagnosis,
- differential,
- disease
- drainage,
- early
- exotoxins,
- humans,
- imaging,
- infections,
- leukocidins,
- magnetic
- male,
- methicillin
- pilonidal
- postoperative
- progression,
- pyomyositis,
- reoperation,
- resistance,
- resonance
- sepsis,
- sinus,
- staphylococcal
- staphylococcus
- techniques,
- toxins,
- virulence
Nutzer