Lipatov K V, Asatryan A G, Melkonyan G G, Kirillin A V, Gorbacheva I V
Sechenov First Moscow State Medical University, Moscow, Russia.
Moscow Clinical Hospital 4, Moscow, Russia.
Khirurgiia (Mosk). 2021(2):84-87. doi: 10.17116/hirurgia202102184.
Acute hematogenous osteomyelitis (AHO) in adults is a rare disease complicating timely diagnosis. Even greater difficulties are observed in case of pelvic bone lesion. The authors report AHO of the pelvis an adult. Osteomyelitis was complicated by generalized infection and multiple pyogenic abscesses in subcutaneous adipose tissue of the upper and lower extremities. Detection of primary infectious focus was complicated by extreme severity of the patient's condition and low informative value of X-ray and ultrasound at the early stage of disease. Staphylococcus aureus was obtained from blood culture and infectious foci. Surgical debridement along with complex intensive care ensured a positive outcome.
成人急性血源性骨髓炎（AHO）是一种罕见疾病，诊断及时会使其复杂化。骨盆骨病变时，困难更大。作者报告了一例成人骨盆的AHO。骨髓炎并发全身感染及上下肢皮下脂肪组织多处化脓性脓肿。由于患者病情极其严重，且疾病早期X线和超声的诊断价值较低，导致原发性感染灶的检测变得复杂。血培养及感染灶培养均分离出金黄色葡萄球菌。手术清创联合综合重症监护确保了良好的治疗效果。
