免疫功能正常儿童的偶发分枝杆菌所致骨髓炎

Osteomyelitis Because of Mycobacterium Xenopi in an Immunocompetent Child.

作者信息

Kuntz Martin, Seidl Maximilian, Henneke Philipp

机构信息

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.

出版信息

Pediatr Infect Dis J. 2016 Jan;35(1):110-3. doi: 10.1097/INF.0000000000000933.

DOI:10.1097/INF.0000000000000933

PMID:26418244

Abstract

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.

摘要

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。