迟发性骨髓炎在羊膜带综合征导致的肢体截肢中的发病：病例报告。
Delayed Onset of Osteomyelitis in Fetal Limb Amputation Secondary to Amniotic Band Syndrome: A Case Report.
机构信息
School of Engineering, Case Western Reserve University, Cleveland, Ohio.
Department of Pediatric Orthopaedic Surgery, Akron Children's Hospital, Akron, Ohio.
出版信息
JBJS Case Connect. 2021 Feb 17;11(1):01709767-202103000-00023. doi: e20.00651.
CASE
We present the case of an infant with an amputation from amniotic band syndrome and no other complications. During the seventh week of life, the infant developed severe pain in the affected limb that was ultimately found to be indicative of osteomyelitis.
CONCLUSION
The infant displayed minimal systemic response, and cultures that grew methicillin-sensitive Staphylococcus aureus were needed to confirm the diagnosis. Surgical debridement, stump revision, and oral antibiotic therapy provided definitive treatment for our patient. The reader is encouraged to consider the possibility of osteomyelitis in similar circumstances.
病例
我们报告了一例因羊膜带综合征导致截肢且无其他并发症的婴儿病例。该婴儿在出生后第 7 周时出现患肢剧痛，最终被诊断为骨髓炎。
结论
该婴儿表现出轻微的全身反应，需要培养出耐甲氧西林金黄色葡萄球菌才能确诊。手术清创、残端修整和口服抗生素治疗为该患者提供了明确的治疗方案。建议在类似情况下考虑骨髓炎的可能性。
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