一例急性骨髓炎：诊断与治疗的最新进展

Chiappini Elena, Mastrangelo Greta, Lazzeri Simone

Infectious Disease Unit, Meyer University Hospital, University of Florence, Florence 50100, Italy.

Orthopedics and Traumatology, Meyer University Hospital, Florence 50100, Italy.

Int J Environ Res Public Health. 2016 May 27;13(6):539. doi: 10.3390/ijerph13060539.

Osteomyelitis in children is a serious disease in children requiring early diagnosis and treatment to minimize the risk of sequelae. Therefore, it is of primary importance to recognize the signs and symptoms at the onset and to properly use the available diagnostic tools. It is important to maintain a high index of suspicion and be aware of the evolving epidemiology and of the emergence of antibiotic resistant and aggressive strains requiring careful monitoring and targeted therapy. Hereby we present an instructive case and review the literature data on diagnosis and treatment.

儿童骨髓炎是一种严重的儿科疾病，需要早期诊断和治疗以尽量降低后遗症风险。因此，在发病初期识别体征和症状并正确使用现有的诊断工具至关重要。保持高度的怀疑指数并了解不断变化的流行病学情况以及耐药性和侵袭性菌株的出现，需要进行仔细监测和针对性治疗，这一点很重要。在此，我们展示一个具有指导意义的病例并回顾关于诊断和治疗的文献数据。