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肺炎克雷伯菌骨髓炎导致肱骨干骺端病理性骨折1例:病例报告

A Rare Case of a Distal Humerus Pathological Fracture from Klebsiella Pneumoniae Osteomyelitis: A Case Report.

作者信息

Chan M F, Kwek Ebk

机构信息

Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore.

Department of Orthopaedic Surgery, Woodlands Health Campus, Singapore.

出版信息

Malays Orthop J. 2020 Mar;14(1):81-83. doi: 10.5704/MOJ.2003.013.

Abstract

Klebsiella pneumoniae is one of the leading causative organisms in pyogenic liver disease. It can cause disseminated infections, but rarely to bone, and rarely in healthy hosts. We report an unusual case of a distal humerus fracture from osteomyelitis secondary to dissemination in a non-immuno-compromised patient. The patient was surgically managed with external fixation and insertion of anti-biotic beads, in conjunction with medical therapy via culture direct antibiotics. This report highlights the diagnostic approach and treatment options for these atypical cases.

摘要

肺炎克雷伯菌是化脓性肝病的主要致病菌之一。它可引起播散性感染,但很少累及骨骼,在健康宿主中更是罕见。我们报告了一例非免疫功能低下患者因播散继发骨髓炎导致肱骨远端骨折的罕见病例。该患者接受了外固定和抗生素珠植入的手术治疗,并结合根据培养结果使用直接抗生素的药物治疗。本报告强调了这些非典型病例的诊断方法和治疗选择。

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