Lee Ing-Kit, Liu Jien-Wei
Division of Infectious Diseases, Department of Internal Medicine, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University College of Medicine, Taiwan.
South Med J. 2007 Sep;100(9):903-5. doi: 10.1097/SMJ.0b013e318063e69f.
We report the case of a 59-year-old woman who presented with fever and a cutaneous ulcer on her left ankle. In addition to Staphylococcus aureus growth from a blood culture, S aureus and Mycobacterium tuberculosis were both isolated from tissue specimens. This case highlights that osteomyelitis may be concurrently caused by S aureus and M tuberculosis. In a patient whose osteomyelitis due to S aureus responds poorly to clinical therapy, clinicians should suspect coexisting tuberculosis, especially in areas where tuberculosis is endemic.
我们报告了一例59岁女性病例，该患者表现为发热及左脚踝皮肤溃疡。除血培养分离出金黄色葡萄球菌外，组织标本中还分离出金黄色葡萄球菌和结核分枝杆菌。该病例突出表明，骨髓炎可能同时由金黄色葡萄球菌和结核分枝杆菌引起。对于因金黄色葡萄球菌导致的骨髓炎且临床治疗反应不佳的患者，临床医生应怀疑并存结核，尤其是在结核病流行地区。
