Akiki A, Bilde Y
Traumatology Unit, Chablais Hospital, 1870 Monthey, Switzerland.
Case Rep Orthop. 2011;2011:541873. doi: 10.1155/2011/541873. Epub 2011 Sep 25.
Persistent pain development after a skeletal contusion rarely poses the diagnosis of osteomyelitis. We report the case of a fibular head contusion as an initial manifestation of a focal abscess development in a healthy young patient. The traditional treatment of surgical drainage revealed the presence of an atypical Mycobacterium haemophilum isolates in the abscess. This lead to further investigations that concluded and established the diagnosis of AIDS. Conclusion. Isolation of an atypical Mycobacterium haemophilum in any abscess should lead the physician to accomplish further investigations and look for AIDS even in young healthy subjects.
骨骼挫伤后持续性疼痛的发生很少提示骨髓炎的诊断。我们报告一例腓骨头挫伤病例,这是一名健康年轻患者局灶性脓肿形成的初始表现。传统的手术引流治疗显示脓肿中存在非典型嗜血性分枝杆菌分离株。这促使进一步检查,最终确诊为艾滋病。结论。在任何脓肿中分离出非典型嗜血性分枝杆菌,即使是在年轻健康的受试者中,医生也应进行进一步检查并排查艾滋病。