Baharuddin M, Sharaf I
Department of Orthopaedics, Hospital Seremban, Negeri Sembilan, Kuala Lumpur.
Med J Malaysia. 2001 Dec;56 Suppl D:54-6.
We report a rare case of an acute haematogenous osteomyelitis of the femur in a five-year-old boy following a closed fracture of the femur. Because of its rare occurrence, the diagnosis of osteomyelitis was missed initially. He presented with a groin abscess seven weeks after injury. He was treated with external fixation, repeated debridements and intravenous antibiotics. Culture grew Staphylococcus aureus. The latest follow-up one-year after the injury showed resolution of the infection and union of the fracture. The range of knee movement is limited from 0-90 degrees due to quadriceps contracture.
我们报告了一例罕见的五岁男孩股骨急性血源性骨髓炎病例，该病例发生在股骨闭合性骨折之后。由于其罕见性，最初漏诊了骨髓炎。他在受伤七周后出现腹股沟脓肿。对其进行了外固定、反复清创及静脉注射抗生素治疗。培养结果显示为金黄色葡萄球菌。受伤一年后的最新随访显示感染已消退，骨折已愈合。由于股四头肌挛缩，膝关节活动范围限制在0至90度。
