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与多杀巴斯德菌相关的额骨骨髓炎(波特氏肿)——病例报告及文献综述

Frontal osteomyelitis (Pott's puffy tumour) associated with Pasteurella multocida-A case report and review of the literature.

作者信息

Skomro R, McClean K L

机构信息

Division of Infectious Diseases and Department of Medicine, Royal University Hospital, Saskatoon, Saskatchewan.

出版信息

Can J Infect Dis. 1998 Mar;9(2):115-21. doi: 10.1155/1998/457984.

Abstract

A 58-year-old woman presented with progressive midforehead swelling and erythema with frontal headache. Investigations revealed erosion of the anterior wall of the frontal sinus with subgaleal abscess formation, establishing a diagnosis of Pott's puffy tumour. Pasteurella multocida was isolated in pure growth from an aspirate of the abscess. P multocida is a rare cause of sinusitis. It is isolated from the respiratory tract of asymptomatic individuals and, more commonly, patients with chronic respiratory conditions. Although a cause of osteomyelitis associated with animal bites or scratches, P multocida has not previously been implicated as a cause of frontal osteomyelitis or Pott's puffy tumour. A review of reported cases of Pott's puffy tumour, including clinical presentation, microbiology, treatment and outcome, is provided.

摘要

一名58岁女性出现前额中部进行性肿胀、红斑伴额部头痛。检查发现额窦前壁糜烂并形成帽状腱膜下脓肿,确诊为波特氏浮肿性肿瘤。从脓肿抽吸物中分离出多杀巴斯德菌纯培养物。多杀巴斯德菌是鼻窦炎的罕见病因。它可从无症状个体的呼吸道分离得到,更常见于患有慢性呼吸道疾病的患者。虽然多杀巴斯德菌是与动物咬伤或抓伤相关的骨髓炎病因,但此前未曾被认为是额骨骨髓炎或波特氏浮肿性肿瘤的病因。本文对已报道的波特氏浮肿性肿瘤病例进行了综述,包括临床表现、微生物学、治疗及预后情况。

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