[Pseudoseptical myositis ossificans in spinal cord injuried patients].
[Pseudoseptical myositis ossificans in spinal cord injuried patients].
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DOI：
10.1016/j.lpm.2011.01.031
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发表时间：
2012-01-01
期刊：
影响因子：
--
通讯作者：
Bernard, Louis
中科院分区：
文献类型：
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作者：
Naar, Fabien;Dinh, Aurelien;Bernard, Louis
神经源性骨化性肌炎或骨关节旁病变是异位骨化的一部分。他们主要涉及脊髓损伤或脑损伤的病人。它们主要靶向髋关节，可导致局部或全身炎症体征，类似于严重脓毒症。我们详细介绍了频繁的败血症一样的pathologyandrelevant回声描记术作出诊断，并开始适应therapy.METHOD：我们进行了一项回顾性研究，从7例患者住院感染性疾病科怀疑败血症肌炎，我们比较了这个队列与现有的data.RESULTS：他们都有炎症综合征和放射学体征。早期诊断可通过回波描记术、MRI或断层光密度测定法。结论：骨化性肌炎可能有败血症的表现，但治疗首先是非类固醇抗炎药物治疗，没有抗生素治疗。
CONTEXT: Neurogenic myositis ossificans or para-osteo-arthropathy are part of heterotopic ossifications. They concern mostly spinal cord injured or cerebral injured patients. They mostly target the hip and can lead to local or general inflammatory signs which can mimic severe sepsis. We detail the frequent septic like symptomatology and the relevance of echography to make the diagnosis and to start adapted therapy.METHOD: We conducted a retrospective study from seven patients hospitalized in infectious disease department for suspicion of septical myositis and we compared this cohort with available data.RESULTS: They all have inflammatory syndrome and radiological signs. Diagnosis can be made early by echography, MRI or tomodensitometry. X-ray signs are delayed.CONCLUSION: Myositis ossificans can have a septical presentation but therapy is, at first, medical with non steroid anti inflammatory drugs and no antibiotic therapy.