Abdulla Mohamed, Khaled Yazan S, Kapoor Harish
aDepartment of Trauma and Orthopaedic Surgery, Leeds General Infirmary bSection of Translational Anaesthetic and Surgical Sciences, University of Leeds cSection of Translational Anaesthetic and Surgical Sciences, Leeds Institute of Molecular Medicine, Leeds, UK.
J Pediatr Orthop B. 2014 May;23(3):270-3. doi: 10.1097/BPB.0000000000000017.
Salmonella osteomyelitis occurs infrequently in healthy children and can manifest in the subacute form. This condition has only been reported in few cases previously. We report the first case of primary subacute haematogenous osteomyelitis of the calcaneum in a healthy 12-year-old child. The patient made uneventful recovery following surgical drainage and antibiotic therapy. Histology of the tissue biopsy confirmed a diagnosis of Salmonella livingstone infection. Although the diagnosis of Salmonella osteomyelitis of the calcaneum can be difficult to establish, it should be considered as an aetiological factor even in healthy children.
沙门氏菌骨髓炎在健康儿童中很少见,可呈亚急性形式表现。此前仅有少数病例报道过这种情况。我们报告了首例健康12岁儿童原发性跟骨亚急性血源性骨髓炎病例。患者经手术引流和抗生素治疗后顺利康复。组织活检的组织学检查确诊为利文斯通沙门氏菌感染。尽管跟骨沙门氏菌骨髓炎的诊断可能难以确立,但即使在健康儿童中也应将其视为病因之一。