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一名接受耻骨联合化脓性关节炎/邻近骨髓炎治疗的患者的复发症状：诊断挑战

Relapsed Symptoms in a Patient Treated for Pubic Symphysis Septic Arthritis/Adjacent Osteomyelitis: Diagnostic Challenges.

作者信息

Upadhyayula Shankar

机构信息

Division of Pediatric Infectious Diseases, Akron Childrens Hospital, Akron, OH, USA.

出版信息

Case Rep Infect Dis. 2020 Nov 26;2020:8819268. doi: 10.1155/2020/8819268. eCollection 2020.

DOI:10.1155/2020/8819268
PMID:33294238
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7714587/
Abstract

We describe the case of a 14-year-old girl with relapsed pain following adequate treatment of pubic symphysis septic arthritis with adjacent osteomyelitis. Evaluation of her symptoms was challenging, because magnetic resonance imaging (MRI) was not helpful and repeat surgical exploration was not favored. She was treated with a combination of prolonged antimicrobial therapy and local steroid injection. This case highlights the limitations of MRI as a follow-up study for evaluating symptom relapse of acute osteomyelitis.

摘要

我们描述了一名14岁女孩的病例，她在耻骨联合化脓性关节炎合并相邻骨髓炎得到充分治疗后出现复发性疼痛。对她症状的评估具有挑战性，因为磁共振成像（MRI）并无帮助，且不主张再次进行手术探查。她接受了延长抗菌治疗和局部类固醇注射的联合治疗。该病例突出了MRI作为评估急性骨髓炎症状复发的随访研究的局限性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/034e/7714587/c1f09f452c15/CRIID2020-8819268.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/034e/7714587/af6cbabdb86f/CRIID2020-8819268.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/034e/7714587/c1f09f452c15/CRIID2020-8819268.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/034e/7714587/af6cbabdb86f/CRIID2020-8819268.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/034e/7714587/c1f09f452c15/CRIID2020-8819268.002.jpg

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本文引用的文献

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Septic arthritis of the pubis symphysis: clinical and therapeutic features.耻骨联合化脓性关节炎：临床与治疗特点
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Spontaneous Septic Arthritis of Pubic Symphysis in an Elite Athlete.一名优秀运动员耻骨联合自发性化脓性关节炎
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Symphysis pubis osteomyelitis with bilateral adductor muscles abscess.耻骨联合骨髓炎伴双侧内收肌脓肿
Case Rep Orthop. 2014;2014:982171. doi: 10.1155/2014/982171. Epub 2014 Dec 14.
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