Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Septic Intramuscular Embolism in a Neutropenic Patient with Myelodysplastic Syndrome Accompanied by Asymptomatic Septic Pulmonary Emboli
Shingo YANONoriko USUIOsamu ASAINobuaki DOBASHIHiroshi OSAWAYutaka TAKEIShinobu TAKAHARAYoji OGASAWARAYuko YAMAGUCHITakeshi SAITOJiro MINAMIMasayuki KOBAYASHI
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JOURNALS OPEN ACCESS

2005 Volume 44 Issue 10 Pages 1100-1102

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Abstract

Septic embolisms are rare disorders which are associated with increased mortality and morbidity. We describe a rare case of septic intramuscular embolism accompanied by asymptomatic pulmonary embolism in a neutropenic patient. Methicillin-sensitive Staphylococcus aureus (S. aureus) was detected and multiple nodules were revealed in both thighs and lung. Although he was treated with sensitive antibiotics to .S. aureus, the symptoms remained unchanged during the neutropenic period. Fever subsided rapidly and his thigh pain disappeared after neutropenia resolved. A prompt diagnosis and optimal therapeutic decisions are critical for the reduction of mortality.

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© 2005 by The Japanese Society of Internal Medicine
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