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亚急性骨髓炎伪装成原发性骨肉瘤:六例报告。

Subacute osteomyelitis masquerading as primary bone sarcoma: report of six cases.

机构信息

Monash University Sunway Campus, Kuala Lumpur, Malaysia.

出版信息

Surg Infect (Larchmt). 2010 Oct;11(5):475-8. doi: 10.1089/sur.2009.011.

Abstract

BACKGROUND

We report a series of six immunocompetent patients who were believed initially to have primary bone sarcomas, but turned out to have subacute osteomyelitis.

METHODS

Case report and review of relevant literature.

RESULTS

All our patients were treated with antibiotics and recovered fully from the infection. Only one patient had a recurrence with the same offending microorganism, which resolved after a longer period of intravenous antibiotic.

CONCLUSIONS

Subacute osteomyelitis and bone tumors can be similar in presentation, and the key to proper diagnosis is histopathological and microbiological confirmation in biopsy specimens.

摘要

背景

我们报告了一系列 6 例免疫功能正常的患者,这些患者最初被认为患有原发性骨肉瘤,但后来被证实患有亚急性骨髓炎。

方法

病例报告和相关文献复习。

结果

我们所有的患者均接受了抗生素治疗,并完全从感染中恢复。只有 1 例患者出现相同病原体的复发,经较长时间的静脉抗生素治疗后得到解决。

结论

亚急性骨髓炎和骨肿瘤在临床表现上可能相似,正确诊断的关键是活检标本的组织病理学和微生物学确认。

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