Ramasastry S S, Granick M S, Boyd J B, Futrell J W
Ann Plast Surg. 1987 Mar;18(3):241-4. doi: 10.1097/00000637-198703000-00011.
This report describes a severe case of perifolliculitis capitis with the rare complication of skull osteomyelitis, a combination not previously reported. The patient demonstrated the typical features of perifolliculitis capitis, namely, rubbery, hard, elevated nodules involving almost the entire scalp with multiple deep-seated abscesses. Bone was exposed in two areas and the diagnosis of skull osteomyelitis was confirmed by skull x-ray films and bone biopsy specimens, which grew Staphylococcus aureus. The patient was treated with enteral hyperalimentation, intravenous antibiotics, and multiple debridements of the scalp, including the involved periosteum and outer cortex of the exposed bone, followed by reconstruction with split-thickness skin grafts. A complete eradication of the disease with closure of all open wounds and clearance of osteomyelitis of the skull was achieved.
本报告描述了一例严重的头皮毛囊周围炎，并伴有罕见的颅骨骨髓炎并发症，此前尚未有这种病例组合的报道。患者表现出头皮毛囊周围炎的典型特征，即橡皮样、坚硬、隆起的结节，几乎累及整个头皮，并伴有多个深部脓肿。在两个部位发现了骨质外露，颅骨X线片和骨活检标本证实了颅骨骨髓炎的诊断，骨活检标本培养出金黄色葡萄球菌。患者接受了肠内高营养、静脉抗生素治疗以及多次头皮清创术，包括受累的骨膜和外露骨的外层皮质，随后用分层皮片进行重建。最终实现了疾病的完全根除，所有开放性伤口愈合，颅骨骨髓炎清除。
