罕见的腰痛-梨状肌炎1例报告并文献回顾

Unusualcaseoflowerbackpain-piriformismyositis:acasereportandliteraturereview

Abstract摘要

本报告中的病例为37岁男性，保安人员，症状有发热和放射至左腿的严重腰痛，伴行动能力减退1周。腰椎X线平片未见明显异常，炎症标志物CRP、ESR和中性粒细胞含量升高明显。CT扫描显示左侧闭孔内积液增多，直肠系膜脂肪炎性改变。

Wepresentacaseofa37-year-oldmalesecurityofficerwithfever,severelowbackpainradiatingtoleftlowerleganddiminishedmobilityfor1week.HisLumbarspineX-raywasunremarkable,buthisinflammatorymarkersincludingCRP,ESRandNeutrophilswerehigh.CTscanwithcontrastshowedrimenhancingfluidcollectionwithintheleftobturatorforamenwithinflammatorychangeinthemesorectalfat.

MRI扫描明确显示左侧梨状肌炎性改变，脊柱无异常。给患者行紧急CT引导下穿刺，将样本送去进行微生物检测分析。开始静脉注射抗生素并持续两周，症状完全消失。

ConfirmatoryMRIscansdepictedinflammatorychangeintheleftpiriformismuscleandalocalizedcollectionwithoutanyabnormalityinthespine.UrgentCTguidedaspirationwasperformedandthesamplesentformicrobiologicalanalysis.Intravenousantibiotics