ABSTRACT
Pyomyositis is in the moderate climate zone a rare and acute bacterial infection of the skeletal muscles without an obvious origin of infection. Initial symptoms contain muscle pain and localized swelling and tension. As different causes are taken into account first, the diagnosis of a pyomyositis is often delayed. We report on three cases of pyomyositis and discuss diagnosis and therapy against the background of the available and recent literature.
Subject(s)
Bacterial Infections/surgery , Climate , Myositis/surgery , Abscess/diagnosis , Abscess/surgery , Adult , Arm/surgery , Bacterial Infections/diagnosis , Compartment Syndromes/diagnosis , Compartment Syndromes/surgery , Humans , Leg/surgery , Magnetic Resonance Imaging , Male , Middle Aged , Myositis/diagnosis , Recurrence , Reoperation , Sepsis/diagnosis , Sepsis/surgery , Staphylococcal Infections/surgery , Surgical FlapsABSTRACT
To elucidate the host cell defense mechanisms in response to Sindbis viral infection, we have started to characterize interferon (IFN)-stimulated response element (ISRE)-binding proteins activated in infected cells that are involved in the transcriptional induction of IFN type I-inducible genes. Using electromobility shift assays (EMSA), we detected several protein complexes with a human IFN-stimulated gene 15 (ISG15) ISRE in extracts from virus-infected L929 cells that were absent in extracts from uninfected cells. Comigration with Newcastle disease virus-activated ISRE-binding complexes, ISRE-binding specificity, supershift experiments, and conditions of formation indicate that the complexes activated by Sindbis viral infection in L929 cells correspond to DRAF1 and ISG factor 3 (ISGF3). Transfection of L929 cells with poly rI:rC induced only ISGF3. DRAF1 could be detected in Sindbis virus-infected mouse embryo fibroblasts derived from IFNR type I and type II KO mice. Viral RNA synthesis is required for activation of DRAF1.