Sipahioglu Serkan, Askar Huseyin, Zehir Sinan
Department of Orthopedics and Traumatology, Harran University Medical Faculty, Yenisehir Street, 63000 Sanliurfa, Turkey.
J Med Case Rep. 2014 Nov 26;8:388. doi: 10.1186/1752-1947-8-388.
The simultaneous presentation of osteomyelitis in more than one bone is rare and is commonly accompanied by a chronic disease. Even in such cases, other conditions that arise commonly in the long bones of children--such as chronic recurrent multifocal osteomyelitis and Ewing's sarcoma--must be ruled out.
We present the case of a 5-year-old boy with bilateral acute tibial osteomyelitis without an underlying chronic disease who was treated with surgical debridement. We also review the pertinent literature.
Early diagnosis, appropriate antibiotic therapy, and timely surgical intervention--including proactive efforts to prevent fractures--all increase the chance of a successful outcome for these patients.
多块骨骼同时发生骨髓炎的情况罕见，且通常伴有慢性疾病。即便在这类病例中，也必须排除儿童长骨中常见的其他病症，如慢性复发性多灶性骨髓炎和尤因肉瘤。
我们报告一例5岁双侧急性胫骨骨髓炎男孩的病例，该患儿无潜在慢性疾病，接受了手术清创治疗。我们还回顾了相关文献。
早期诊断、恰当的抗生素治疗以及及时的手术干预，包括积极预防骨折，均能增加这些患者获得成功治疗结果的机会。
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