儿童创伤后肋骨骨髓炎的床旁护理，表现为胸壁疼痛。
Post-traumatic Osteomyelitis of the Rib-point of Care In children, Presenting with chest Wall Pain.
作者信息
Mishra Pankaj Kumar, Verma Virendra Kumar, Gupta Manu, Jain Siddharth
机构信息
Department of Orthopaedic, All India Institute of Medical Sciences Bhopal, Madhya Pradesh, India.
Department of Orthopaedics. Healthclique, Mohali, Punjab, India.
出版信息
J Orthop Case Rep. 2022 Nov;12(11):87-90. doi: 10.13107/jocr.2022.v12.i11.3426.
INTRODUCTION
The rib osteomyelitis is a very rare entity and it hardly accounts for 1% of all cases of osteomyelitis. In this case report, we are presenting a case of acute osteomyelitis of rib in a very young child, with a previous history of mediocre trauma over the chest wall.
CASE REPORT
It is a case report of a young boy, who had sustained the blunt injury over the chest wall. The X-ray was unremarkable. After sometime, he presented to the hospital with the pain over the chest wall. Now, the X-ray showed the signs of rib osteomyelitis.
CONCLUSION
In children, the clinical presentation of rib osteomyelitis is very non-specific. Sometimes, the injury while playing, which is very usual in this age group may create the confusion. Hence, it may need high index of suspicion by the physician to include is as a possible diagnosis.
引言
肋骨骨髓炎是一种非常罕见的病症，在所有骨髓炎病例中所占比例不到1%。在本病例报告中，我们呈现了一名幼儿肋骨急性骨髓炎的病例，该患儿此前有过胸壁轻度外伤史。
病例报告
这是一名年轻男孩的病例报告，他的胸壁受到钝性损伤。X线检查未见明显异常。一段时间后，他因胸壁疼痛入院。此时，X线显示出肋骨骨髓炎的迹象。
结论
在儿童中，肋骨骨髓炎的临床表现非常不具有特异性。有时，玩耍时的受伤情况在这个年龄组很常见，可能会造成混淆。因此，医生需要高度怀疑，将其作为一种可能的诊断。
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