Hasegawa T, Watanabe R, Hayashi K, Inufusa A, Nakagawa H
Department of Orthopaedic Surgery, Kawasaki Medical School, Okayama, Japan.
Arch Orthop Trauma Surg. 1992;111(3):178-80. doi: 10.1007/BF00388095.
A rare case of osteomyelitis of the tibia caused by Mycobacterium fortuitum which developed after closed intramedullary Küntscher nail fixation is reported. After extraction of the nail, combination therapy with antituberculous drugs, ofloxacin, and interleukin 2 was undertaken and bony union was achieved. Since a bone cyst formed during union, curettage and conventional cancellous bone grafting were performed. The patient is now pain-free even with prolonged weight-bearing. The success of treatment in this case is in contrast to other reports of the disease.
报告了1例因偶然分枝杆菌引起的胫骨骨髓炎罕见病例，该病例发生在闭合式Küntscher髓内钉固定术后。取出髓内钉后，采用抗结核药物、氧氟沙星和白细胞介素2联合治疗，实现了骨愈合。由于在愈合过程中形成了骨囊肿，进行了刮除术和传统的松质骨移植。患者现在即使长时间负重也没有疼痛。该病例的治疗成功与该病的其他报道形成对比。
