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一名既往健康青少年的胫骨近端沙门氏菌骨髓炎:病例报告

Salmonella Osteomyelitis of the Proximal Tibia in a Previously Healthy Adolescent: A Case Report.

作者信息

Vynichakis Georgios, Chandrinos Michail, Angelis Stavros, Bogris Elefterios, Michelarakis John Ν

机构信息

Orthopaedics, General Hospital of Piraeus Tzaneio, Piraeus, GRC.

Ortopaedics, General Hospital of Piraeus Tzaneio, Piraeus, GRC.

出版信息

Cureus. 2019 Sep 16;11(9):e5672. doi: 10.7759/cureus.5672.

Abstract

Salmonella osteomyelitis is an uncommon pathological condition. Usually, it is associated with hemoglobinopathies or other underlying disorders. Osteomyelitis due to Salmonella is extremely rare in a previously healthy patient. We present a case of a 12-year-old previously healthy male who suffered Salmonella osteomyelitis of the proximal tibia as well as the diagnostic algorithm and therapy protocol. In our case, Salmonella osteomyelitis was identified by direct inoculation of the sample in blood culture bottles. Traditional cultures were negative. The practice of blood culture bottles seems to be essential for diagnosis, so the appropriate treatment is performed.

摘要

沙门氏菌骨髓炎是一种罕见的病理状况。通常,它与血红蛋白病或其他潜在疾病相关。在既往健康的患者中,由沙门氏菌引起的骨髓炎极为罕见。我们报告一例12岁既往健康男性患者,其患有胫骨近端的沙门氏菌骨髓炎,以及诊断算法和治疗方案。在我们的病例中,通过将样本直接接种于血培养瓶中鉴定出沙门氏菌骨髓炎。传统培养结果为阴性。血培养瓶的应用似乎对诊断至关重要,从而能够进行恰当的治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a531/6823061/9b41b3e72cb5/cureus-0011-00000005672-i02.jpg

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