同种异体疗法治愈肌炎不愈合脓肿:循证病例报告

K. Sivakumar, S. Gouthamy
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摘要

肌炎是一种影响骨骼肌的感染性疾病,可表现为弥漫性炎症或快速进展的肌坏死过程,通常会导致脓肿形成。它最常见于大腿肌肉。金黄色葡萄球菌是最常见的微生物,占病例的 90%。由于最初的症状被忽视,脓肌炎的诊断可能具有挑战性,通常表现为发热和肌肉疼痛。标准的抗生素治疗是主要手段。不过,考虑到局部病理和其他个体化特征,同种疗法药物也能有效治疗该病。一名 58 岁的男性患者因合并多种疾病的肌炎脓肿不愈合而就诊。他最初在门诊部接受治疗,但病情没有任何积极变化,后来被送入位于科塔亚姆(Kottayam)的国家同种疗法心理健康研究所住院部,接受了 45 天的治疗。第一个处方是 Merc.0/1 作为第一个处方,并在复诊时根据需要重复使用。同时还使用了 Syphilinum 200 作为治疗主要梅毒瘴气的药方。肌炎脓肿治愈,糖尿病和高血压得到控制。双耳感音神经性耳聋有所改善,对酒精的渴望也有所减少。使用 "改良纳兰霍标准 "对结果和因果关系的变化进行了评估。得分是 +9,接近最高分(13 分),表明同种疗法干预与结果之间存在正相关关系。本病例证明了同种疗法药物干预在治疗伴有多种疾病的肌炎不愈合脓肿中的积极作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Non-Healing Abscess of Myositis Cured with Homoeopathy Treatment: An Evidence-Based Case Report
Myositis is an infectious disease that affects skeletal muscle and may appear as a diffuse inflammation or a rapidly progressive myonecrotic process that often results in abscess development. It is most common in thigh muscles. Staphylococcus aureus is the most common microorganism, accounting for 90% of cases. Pyomyositis diagnosis can be challenging due to neglect of initial symptoms, and usually presents with fever and muscle pain. Standard antibiotic treatment is the mainstay. However, it can be effectively treated with homoeopathic medicines by considering local pathology and other individualised characteristics. A 58-year-old male patient consulted with a non-healing abscess of myositis with multi-morbid conditions. Initially treated in outpatient department without any positive change, he was later admitted to inpatient department of National Homoeopathy Research Institute in Mental Health, Kottayam, and treated for 45 days. Merc. sol. 0/1 was given as the first prescription and repeated as required in the follow-up visits. Syphilinum 200 was given as an intercurrent remedy to address predominant syphilitic miasm. Abscess of myositis was cured, and diabetes and hypertension were under control. There was an improvement in sensorineural deafness in both ears, and his craving for alcohol was also reduced. The changes in outcome and causal attribution were assessed using the Modified Naranjo Criteria. The score was +9, close to the maximum (13), showing positive relationship between homoeopathic intervention and the outcome. This case proves the positive role of homoeopathic medicines intervention in treating non-healing abscess of myositis associated with multimorbidities.
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