Division of Pediatric Surgery, Department of Surgery, Saint George Hospital University Medical Center (SGHUMC), University of Balamand (UOB), Lebanon.
Pediatr Infect Dis J. 2010 Oct;29(10):976-8. doi: 10.1097/inf.0b013e3181e0c928.
Primary sternal osteomyelitis is a rare disease in children caused mainly by Staphylococcus aureus. We describe 2 cases resulting from Streptococcus pneumonia and Candida albicans. On the basis of these cases and other documented case reports, we discuss the pathogens, clinical course, and pathophysiology and suggest a management protocol based on early debridement to initiate appropriate antibiotic therapy and shorten hospitalization.
原发性胸骨骨髓炎在儿童中较为罕见，主要由金黄色葡萄球菌引起。我们描述了 2 例由肺炎链球菌和白色念珠菌引起的病例。基于这些病例和其他已记录的病例报告，我们讨论了病原体、临床病程和病理生理学，并提出了一种管理方案，即早期清创以启动适当的抗生素治疗并缩短住院时间。
