Jowett A J L, Middleton S W F, Quaye M C, Chesterfield H, Lasrado I, Witham F M
Portsmouth Hospitals NHS Trust, UK.
Ann R Coll Surg Engl. 2014 Mar;96(2):e13-6. doi: 10.1308/003588414X13814021678637.
We present an unusual case of haematogenous osteomyelitis in the diaphysis of the tibia of an adult leading to a subacute presentation with an extracortical abscess. Fluid from the abscess grew methicillin resistant Staphylococcus aureus (MRSA) on culture; MRSA with the same antibiogram had been grown from the patient's blood seven years earlier following a bowel resection. Drainage of the abscess and curettage of the bone lesion together with appropriate antibiotic therapy led to resolution of the osteomyelitis.
我们报告一例成人胫骨骨干血源性骨髓炎的罕见病例，该病例导致亚急性表现并伴有骨皮质外脓肿。脓肿引流液培养出耐甲氧西林金黄色葡萄球菌（MRSA）；七年前患者在接受肠道切除术后，血液中培养出具有相同抗菌谱的MRSA。脓肿引流及骨病变刮除术联合适当的抗生素治疗使骨髓炎得以治愈。
