Kashyap Nitin Kumar, Jindal Atul, Borkar Nitin Kumar, Wasnik Minal
Assistant Professor, Department of Trauma and Emergency, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
Assistant Professor, Department of Paediatrics, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
J Clin Diagn Res. 2017 Jul;11(7):PD08-PD09. doi: 10.7860/JCDR/2017/25974.10222. Epub 2017 Jul 1.
Although extremely rare, osteomyelitis has been reported in smaller bones like ribs. A 13-year-old male child presented with a one week history of chest wall swelling. Fine Needle Aspiration Cytology (FNAC) of the lesion and initial bacterial culture could not find the aetiology of the lesion. He underwent surgical resection of entire sixth rib for osteomyelitis and was subsequently diagnosed to have tubercular osteomyelitis. Diagnosis and treatment of rib tuberculosis is both difficult and controversial. Rib tuberculosis is often not successfully treated by medical management alone and consequently needs surgery.
虽然极为罕见，但已有报道称肋骨等较小骨骼会发生骨髓炎。一名13岁男童出现胸壁肿胀一周的症状。对该病变进行细针穿刺抽吸细胞学检查（FNAC）及初始细菌培养均未找到病变的病因。他因骨髓炎接受了第六根肋骨全切手术，随后被诊断为结核性骨髓炎。肋骨结核的诊断和治疗既困难又存在争议。肋骨结核往往仅通过药物治疗无法成功治愈，因此需要手术治疗。
