Bor Noam, Rubin Guy, Rozen Nimrod
Orthopaedic Department, Haemek Medical Center, Afula, Israel.
J Pediatr Orthop B. 2011 Nov;20(6):436-9. doi: 10.1097/BPB.0b013e328345681f.
A 7-year-old girl suffering from subacute osteomyelitis of the talus is presented. The main presenting symptoms were mild pain and limping. Owing to the relatively benign course and the rarity of the disease, there was a delay in the diagnosis of about 7 weeks. Laboratory investigation indicated inflammation rather than infection. Roentgenological signs of osteomyelitis appeared at a later stage. Treatment included surgical exploration, curettage, and antibiotics. The patient was seen 16 years later, at the age of 23 years, and there were no sequelae of the infection clinically or radiographically. This study presents the existence of this rare disease, so that it can be promptly diagnosed, possibly avoiding surgical intervention.
本文报告了一名患有距骨亚急性骨髓炎的7岁女孩。主要症状为轻度疼痛和跛行。由于病程相对良性且该病罕见，诊断延迟了约7周。实验室检查显示为炎症而非感染。骨髓炎的X线征象在后期出现。治疗包括手术探查、刮除术和使用抗生素。16年后，患者23岁时接受复查，临床及影像学检查均未发现感染后遗症。本研究展示了这种罕见疾病的存在，以便能及时诊断，可能避免手术干预。
