新冠病毒感染后患者双侧髋关节及膝关节并发骨坏死合并细菌性骨髓炎：病例报告。
Osteonecrosis with Concomitant Bacterial Osteomyelitis of Both Hips and a Knee in a Post-COVID-19 Patient: A Case Report.
机构信息
Orthopaedic and Joint Replacement Surgeon, Department of Orthopaedics, Dr L H Hiranandani Hospital, Powai, Mumbai, Maharashtra, India.
HOME (Hiranandani Orthopaedic Medical Education).
出版信息
JBJS Case Connect. 2022 Feb 24;12(1):01709767-202203000-00055. doi: e21.00629.
CASE
We report the case of a coronavirus disease 2019 (COVID-19)-recovered, 42-year-old man with osteonecrosis and concomitant acute bacterial osteomyelitis of both hips and his left knee. The patient underwent total hip replacement for both hips and arthroscopic decompression and synovectomy of the knee joint. On follow-up, he has complete and painless range of motion with resolving osteomyelitis and no signs of active infection.
CONCLUSION
Corticosteroid therapy and COVID-19-associated thrombotic microangiopathy might have caused osteonecrosis in our patient. However, concomitant osteomyelitis is extremely rare and might be overlooked because of elevated inflammatory markers after recovery from COVID-19 infection.
病例
我们报告了一例新冠肺炎（COVID-19）康复后 42 岁男性，同时患有双侧髋关节骨坏死和急性细菌性骨髓炎，以及左侧膝关节。该患者接受了双侧髋关节全髋关节置换术和膝关节关节镜下减压和滑膜切除术。随访时，他的关节活动度完全无痛，骨髓炎已痊愈，且无活动性感染的迹象。
结论
皮质类固醇治疗和 COVID-19 相关的血栓性微血管病可能导致了我们患者的骨坏死。然而，同时发生骨髓炎非常罕见，可能由于 COVID-19 感染后炎症标志物升高而被忽视。
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