Kuntz Martin, Seidl Maximilian, Henneke Philipp
From the *Department of General Pediatrics, Adolescent Medicine and Neonatology, University Medical Center Freiburg, Freiburg, Germany; †Center for Chronic Immunodeficiency (CCI), University Medical Center Freiburg and University of Freiburg, Freiburg, Germany; and ‡Institute for Surgical Pathology, University Medical Center Freiburg, Freiburg, Germany.
Pediatr Infect Dis J. 2016 Jan;35(1):110-3. doi: 10.1097/INF.0000000000000933.
We present the case of a 6-year-old, immunocompetent boy with chronic osteomyelitis of the calcaneus caused by Mycobacterium xenopi. Of note, typical histopathology was not visible on the first biopsy and developed only later over a period of 6 weeks, highlighting the difficult differential diagnosis of osteomyelitis caused by nontuberculous mycobacteria.
我们报告一例6岁免疫功能正常的男孩，其患有由偶然分枝杆菌引起的跟骨慢性骨髓炎。值得注意的是，首次活检时未见到典型的组织病理学表现，而是在6周的时间里才逐渐出现，这凸显了非结核分枝杆菌所致骨髓炎鉴别诊断的困难。
