RESUMO
A case of pyomyositis is presented. This case is unique in the literature as at least 29 abscesses were detected, affecting the vast majority of big muscle groups. We outline the origin of this disease entity which selectively affects striated muscles. We also discuss its natural history and management strategy.
Assuntos
Polimiosite/diagnóstico , Polimiosite/terapia , Infecções Estafilocócicas/diagnóstico , Infecções Estafilocócicas/terapia , Idoso , Antibacterianos , Terapia Combinada , Quimioterapia Combinada/uso terapêutico , Feminino , Humanos , Staphylococcus aureus/isolamento & purificação , Sucção , Resultado do TratamentoRESUMO
Serum gastrin levels were determined in 21 male runners aged 21-57 years old before and after an ultra marathon (Spartathlon, Athens-Sparta, 248 km). 13 participants (group B) arrived to Sparta after a continuous run of 24-35 hours, while 8 stopped after 95-151 km (group A). The stress associated with such a strenuous run has resulted a 35% decrease of gastrin in group A and a 46% rise in group B. Gastrin levels (post-race) of group B were 56% lower than those of group A. The regulatory mechanisms of serum gastrin levels and the physiological adaptations related to such an exhaustive exercise are discussed.
