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耻骨联合急性骨髓炎:一例报告

Acute Osteomyelitis of the Pubic Symphysis: A Case Report.

作者信息

Jara Javier A, Inostroza Fernando A, Farias Felipe I

机构信息

Orthopaedics and Trauma, Universidad de La Frontera, Temuco, CHL.

Orthopaedics and Trauma, Hospital Dr. Hernán Henríquez Aravena, Temuco, CHL.

出版信息

Cureus. 2023 Jun 12;15(6):e40329. doi: 10.7759/cureus.40329. eCollection 2023 Jun.

Abstract

Pubis osteomyelitis is an uncommon disease, accounting for less than 1% of all bone infections. It occurs secondarily to hematogenous bacterial planting or direct inoculation. Clinically, it presents with intense acute pubic pain, limited mobility, and high fever, so it is rarely suspected initially. Its diagnosis can be easily confused with pubalgia, that do not respond to treatment. We present the case of a 17-year-old patient who sought consultation for three weeks of coxalgia associated with general discomfort and fever. Following a laboratory and imageological study, the diagnosis of acute pubis osteomyelitis was determined, which required surgical intervention and a subsequent pharmacological therapy for six weeks.

摘要

耻骨骨髓炎是一种罕见疾病,占所有骨感染的比例不到1%。它继发于血源性细菌植入或直接接种。临床上,它表现为耻骨剧烈疼痛、活动受限和高热,因此最初很少被怀疑。其诊断很容易与耻骨痛混淆,耻骨痛对治疗无反应。我们报告一例17岁患者,因髋部疼痛伴全身不适和发热三周前来就诊。经过实验室和影像学检查,确诊为急性耻骨骨髓炎,需要进行手术干预并随后进行六周的药物治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d585/10338084/310af5416738/cureus-0015-00000040329-i01.jpg

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