Wagenaar Amy E, Mirsky David M, Stence Nicholas V, Wine Todd M, Chan Kenny H
School of Medicine, University of Miami, Miami, FL, USA.
Department of Radiology, University of Colorado School of Medicine, Aurora, CO, USA; Department of Pediatric Radiology, Children's Hospital Colorado, Aurora, CO, USA.
Int J Pediatr Otorhinolaryngol. 2018 Aug;111:59-62. doi: 10.1016/j.ijporl.2018.05.012. Epub 2018 May 28.
Two 2-year-old males presented post-operatively following adenoidectomy with persistent fever and neck stiffness. After multiple office visits, both patients were admitted and found to have a widened spheno-occipital synchondrosis and other imaging findings indicative of skull base osteomyelitis. Treatment with antibiotics allowed for recovery with good long-term outcomes. Infection involving the spheno-occiptal synchondrosis is rare and its circuitous presentation of these two children no doubt led to delayed diagnosis.
两名2岁男性在腺样体切除术后出现持续发热和颈部僵硬。经过多次门诊就诊后，两名患者均入院，检查发现蝶枕软骨结合增宽以及其他影像学表现提示颅底骨髓炎。抗生素治疗后患者康复，长期预后良好。累及蝶枕软骨结合的感染较为罕见，这两名儿童的病情表现迂回曲折，无疑导致了诊断延误。
