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一名健康女性的胫骨远端沙门氏菌骨髓炎

Salmonella Osteomyelitis of the Distal Tibia in a Healthy Woman.

作者信息

Hashimoto Kazuhiko, Nishimura Shunji, Iemura Shunki, Akagi Masao

机构信息

Department of Orthopedic Surgery, Kindai University Hospital, Osaka-Sayama, Osaka 589-8511,

出版信息

Acta Med Okayama. 2018 Dec;72(6):601-604. doi: 10.18926/AMO/56379.

Abstract

Salmonella osteomyelitis is extremely rare; only a few cases have been reported in healthy adults. We describe a case of salmonella osteomyelitis in an otherwise healthy 20-year-old Japanese woman who presented with distal tibial pain. X-ray and magnetic resonance imaging showed a lesion suspected to be a bone cyst. Osteomyelitis was diagnosed when pus was observed during an open biopsy. The bacterial culture examination yielded salmonella. Surgical drainage and antibiotic treatment were performed, after which no recurrence was observed. To our best knowledge, this is the first report of salmonella osteomyelitis of the distal tibia in an otherwise healthy individual.

摘要

沙门氏菌骨髓炎极为罕见;仅有少数病例在健康成年人中被报道过。我们描述了一例20岁、原本健康的日本女性患沙门氏菌骨髓炎的病例,该患者表现为胫骨远端疼痛。X线和磁共振成像显示有一个疑似骨囊肿的病变。在切开活检时观察到脓液,从而诊断为骨髓炎。细菌培养检查结果为沙门氏菌。进行了手术引流和抗生素治疗,之后未观察到复发情况。据我们所知,这是首例关于原本健康个体发生胫骨远端沙门氏菌骨髓炎的报告。

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