Torklus D v
Z Orthop Ihre Grenzgeb. 1977 Apr;115(2):249-52.
It is reported about the BCG-osteomyelitis in early childhood. A long intervall between BCG-vaccination and the onset of clinical symptoms, the good general condition of the patient, nearly unrestricted joint function, often negative bacteriological culture for the tubercle bacillus and negative guinea-pig test are characteristics. Even with extensive lesions of the epiphysis and metaphysis of the long bone and formation of an abscess, the course of the disease seems to be fairly benign. Operation is recommended for getting biopsy material for histological proof of the tuberculous process and for quicker healing.
据报道,儿童期卡介苗接种后可发生卡介苗性骨髓炎。卡介苗接种与临床症状出现之间间隔时间长、患者一般状况良好、关节功能几乎不受限、结核杆菌细菌学培养常为阴性以及豚鼠试验阴性是其特点。即使长骨骨骺和干骺端有广泛病变并形成脓肿,疾病进程似乎也相当良性。建议进行手术以获取活检材料,用于结核病变的组织学证明并促进更快愈合。