Ntalos D, Hennes F, Spiro A S, Priemel M, Rueger J M, Klatte T O
Klinik und Poliklinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland.
Unfallchirurg. 2017 Jun;120(6):527-530. doi: 10.1007/s00113-016-0307-9.
This case describes a rare salmonella infection suspected to be an osseous lymphoma. A 27-year-old female presented herself with painful swelling of her knee, with prednisolone-treated Crohn's disease as her only pre-existing condition. Salmonella species group C were detected in the osseous material derived from an extraction. The disease was treated with intravenous ceftriaxone, oral cotrimoxazole as well as multiple debridements. The working diagnosis should thus always be questioned and bone pain in patients who are immunosuppressed should be further investigated.
本病例描述了一例疑似骨淋巴瘤的罕见沙门氏菌感染。一名27岁女性因膝关节疼痛肿胀就诊，其既往病史仅有经泼尼松龙治疗的克罗恩病。从一次抽取的骨材料中检测出C组沙门氏菌。该疾病采用静脉注射头孢曲松、口服复方新诺明以及多次清创治疗。因此，对于工作诊断应始终持怀疑态度，对于免疫抑制患者的骨痛应进一步调查。
