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논문 기본 정보

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학술저널
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Kim Tark (Department of Internal Medicine Soonchunhyang University Bucheon Hospital Bucheon Korea.) Park Seong Yeon (Department of Internal Medicine Dongguk University Ilsan Hospital Goyang Korea.) Kwak Yee Gyung (Department of Internal Medicine Inje University Ilsan Paik Hospital Goyang Korea.) Jung Jiwon (Department of Internal Medicine Ulsan University Hospital University of Ulsan College of Medicine U) Kim Min-Chul (Department of Internal Medicine Chung-Ang University Hospital Seoul Korea.) Choi Seong-Ho (Department of Internal Medicine Chung-Ang University Hospital Seoul Korea.) Yu Shi Nae (Division of Infectious Diseases Department of Internal Medicine Soonchunhyang University Cheonan Ho) Hong Hyo-Lim (Department of Internal Medicine Daegu Catholic University Medical Center Daegu Korea.) Kim Yong Kyun (Department of Internal Medicine Inje University Haeundae Paik Hospital Busan Korea.Department of In) Park Se Yoon (Department of Internal Medicine Soonchunhyang University Seoul Hospital Seoul Korea.) Song Eun Hee (Department of Internal Medicine GangNeung Asan Hospital Gangneung Korea.) Park Ki-Ho (Department of Internal Medicine Kyung Hee University Hospital Kyung Hee University School of Medici) Cho Oh Hyun (Department of Internal Medicine Gyeongsang National University Changwon Hospital Changwon Korea.) Choi Sang-Ho (Department of Infectious Diseases Asan Medical Center University of Ulsan College of Medicine Seoul)
저널정보
대한감염학회 Infection and Chemotherapy Infection and Chemotherapy 제53권 제1호
발행연도
2021.1
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46 - 52 (7page)

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Background Pyomyositis (PM) is a serious soft tissue infection and despite its clinical importance, previous studies have not been able to fully determine the clinical characteristics and microbial epidemiology of PM in Korea, which we therefore aimed to investigate. Materials and Methods We retrospectively identified 140 adult patients diagnosed with PM from 13 general hospitals between January 2012 and December 2015. We analyzed the clinical and microbial characteristics of community-onset PM and compared them with community-acquired (CA) and healthcare-associated (HCA) PM. Results One hundred eleven organisms were isolated from 96 (68.6%) patients with PM. Staphylococcus aureus (38 patients) was the most common pathogen, followed by streptococci (24 patients), and enteric Gram-negative organisms (27 patients). Methicillin-resistant S. aureus (MRSA) was identified in four (2.9%) patients and in-hospital mortality reached 8.6% (12/140). Enterococci isolates were identified in the HCA PM subgroup only The proportion of MRSA isolates was not comparable between CA and HCA PM subgroups. In the 83 patients with PM infected by monomicrobial pathogens, isolates of Gram-negative organisms were more commonly found in HCA PM subgroup than in CA PM subgroup (47.6% [10/21] of patients with HCA PM vs. 20.7% [12/58] of patients with CA PM; P = 0.01). Conclusion Gram-positive cocci such as S. aureus and streptococci were dominant etiologies in community-onset PM, whereas MRSA appears to an uncommon causative organism of PM in Korea. Enteric Gram-negative organisms should also be considered as major etiologies, especially in HCA PM patient population in Korea.
#Pyomyositis #Community #Etiology

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참고문헌 (15)

참고문헌 신청
Shepherd JJ / 1983 / Tropical myositis: is it an entity and what is its cause? / Lancet 2:1240~1242 google schola Chiedozi LC / 1979 / Pyomyositis. Review of 205 cases in 112 patients / Am J Surg 137:255~259 google schola Crum NF / 2004 / Bacterial pyomyositis in the United States / Am J Med 117:420~428 google schola Christin L / 1992 / Pyomyositis in North America: case reports and review / Clin Infect Dis 15:668~677 google schola Burdette SD / 2012 / Staphylococcus aureus pyomyositis compared with non-Staphylococcus aureus pyomyositis / J Infect 64:507~512 google schola

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