Emergency Department, University Hospital Zurich, Zurich, Switzerland.
Emergency Department, University Hospital Zurich, Zurich, Switzerland
BMJ Case Rep. 2022 Sep 22;15(9):e250886. doi: 10.1136/bcr-2022-250886.
We present a rare case of destructive osteomyelitis of the sternum caused by and A previously healthy female patient in her 40s presented to the emergency department due to a spontaneous rupture of an abscess located to the chest wall. Imaging confirmed abscess formation with osteomyelitis of the sternum. Emergent surgical debridement was performed, blood and bone cultures were taken and the patient received antibiotic treatment. Cultures of the bone and deep tissue revealed infection with and , both being members of the oral flora and associated with chronic periodontitis. Receiving targeted antibiotic treatment, our patient made a quick recovery. After treatment of the osteomyelitis, our patient was referred to the dentist where chronic periodontitis could be confirmed. Invasive infections with and are rare. Investigation of a dental origin is crucial to prevent recurrent infections.
我们报告一例罕见的胸骨破坏性骨髓炎,由 和 引起。一位 40 多岁的既往健康女性患者因胸壁脓肿自发性破裂而到急诊科就诊。影像学检查证实存在脓肿形成及胸骨骨髓炎。紧急行清创术,取血和骨培养,并给予抗生素治疗。骨和深部组织培养显示感染了 和 ,两者均为口腔菌群的成员,与慢性牙周炎有关。在接受靶向抗生素治疗后,我们的患者迅速康复。骨髓炎治疗后,我们的患者转至牙医处,在那里可以确认患有慢性牙周炎。 和 的侵袭性感染较为罕见。调查牙源性感染至关重要,以防止反复感染。