Long Jaime B, Collins Joseph M, Beauchamp Christopher P, Kho Rosanne, Cornella Jeffrey L
Division of Female Pelvic Medicine and Reconstructive Surgery, Mayo Clinic Arizona, 13400 East Shea Blvd., Scottsdale, AZ 85259, USA.
Int Urogynecol J Pelvic Floor Dysfunct. 2007 Nov;18(11):1375-8. doi: 10.1007/s00192-007-0366-0. Epub 2007 Apr 3.
Previous reports of pubic osteomyelitis associated with bone anchors describe symptoms presenting 10 days to 12 months postoperatively with typical pathogens including Streptococcus, Staphylococcus, Citrobacter, and Pseudomonas (Fitzgerald et al., Int Urogynecol J 10:346-348, 1999 Enzler et al., J Bone Jt Surg Am 81-A(12):1736-1740, 1999; Graham and Dmochowski, J Urol 168:2055-2058, 2004; Fialkow et al., Urology 64(6):1127-1132, 2004; Matkov et al., J Urol 160(4):1427, 1998). This case illustrates the potential for protracted symptoms and delayed diagnosis of pubic osteomyelitis with the fastidious pathogen of Actinomyces meyeri.
先前有关与骨锚相关的耻骨骨髓炎的报告描述，症状出现在术后10天至12个月，典型病原体包括链球菌、葡萄球菌、柠檬酸杆菌和假单胞菌（菲茨杰拉德等人，《国际泌尿妇科杂志》10:346 - 348，1999年；恩兹勒等人，《美国骨与关节外科杂志》81 - A(12):1736 - 1740，1999年；格雷厄姆和德莫乔夫斯基，《泌尿学杂志》168:2055 - 2058，2004年；菲亚尔科夫等人，《泌尿学》64(6):1127 - 1132，2004年；马特科夫等人，《泌尿学杂志》160(4):1427，1998年）。本病例说明了由迈耶放线菌这种苛求病原体导致的耻骨骨髓炎出现迁延症状和延迟诊断的可能性。
