Alexander Vijay, Koshy Maria, Shenoy Rachana, Sudarsanam Thambu David
Department of Medicine, Christian Medical College, Vellore, Tamil Nadu, India.
J Family Med Prim Care. 2018 Sep-Oct;7(5):1133-1135. doi: 10.4103/jfmpc.jfmpc_227_18.
A 45-year-old gentleman presented with fever, weight loss, and painful swelling of both knees. His history was significant for type 2 diabetes mellitus. Blood cultures grew , and imaging revealed osteomyelitis of bilateral distal femura and proximal tibiae, with no involvement of the joint space. He underwent debridement and was initiated on ceftazidime followed by eradication therapy with trimethoprim-sulfamethoxazole. He recovered well with no further complications. Melioidosis is a rare cause of multifocal osteomyelitis and is a differential to be considered in an appropriate clinicoepidemiological setting.
一名45岁男性患者出现发热、体重减轻以及双膝疼痛性肿胀。他有2型糖尿病病史。血培养结果呈阳性，影像学检查显示双侧股骨远端和胫骨近端骨髓炎，关节间隙未受累。他接受了清创术，并开始使用头孢他啶治疗，随后用复方新诺明进行根除治疗。他恢复良好，没有出现进一步的并发症。类鼻疽是多灶性骨髓炎的罕见病因，在适当的临床流行病学背景下是需要考虑的鉴别诊断。
