Martinez-Diaz Gabriel J, Hsia Renee
University of California, San Francisco, CA 94110, USA.
Am J Emerg Med. 2008 Jul;26(6):739.e1-3. doi: 10.1016/j.ajem.2007.11.038.
Posttraumatic osteomyelitis may occur as a direct result of bony injury after trauma or arise as a nosocomial infection after the treatment of trauma. Most cases arise after an open fracture, but bony infection can also arise from spread of infection from contiguous soft tissues or by puncture wounds. Motor vehicle accidents, sport injuries, and the use of orthopedic hardware to manage trauma have contributed to the apparent increase in prevalence of posttraumatic osteomyelitis. We report on a case of Pott's Puffy tumor in a previously healthy woman who had an episode of minor forehead trauma 1 month before presentation to the emergency department (ED), complaining of persistent headache and swelling of her forehead. Results of computed tomography (CT) revealed features characteristic of this condition. After postobliteration of the left frontal sinus via a bicoronal approach with an iliac crest bone graft and some dental extractions and 2 weeks of antibiotic therapy, the patient achieved a complete recovery.
创伤后骨髓炎可能是创伤后骨损伤的直接结果，也可能是创伤治疗后发生的医院感染。大多数病例发生在开放性骨折后，但骨感染也可由邻近软组织的感染扩散或穿刺伤引起。机动车事故、运动损伤以及使用骨科硬件治疗创伤导致创伤后骨髓炎的患病率明显上升。我们报告一例发生在一名既往健康女性身上的波特氏肿性肿瘤病例，该患者在前往急诊科就诊前1个月有一次轻微的前额创伤，主诉持续头痛和前额肿胀。计算机断层扫描（CT）结果显示了该病症的特征。通过双冠状入路、髂嵴骨移植、一些拔牙以及2周的抗生素治疗对左额窦进行闭塞术后，患者完全康复。
