病入骨髓。并非所有骨肿瘤都是癌症：长骨骨髓炎病例。

Yau Tat W, Franz Bennet D, Osman Hanadi A, Rivera Jessica C, Azhar Ashaur

Louisiana State University Health Sciences Center, Department of Medicine, Section of Infectious Diseases, New Orleans, LA, United States.

Louisiana State University, School of Medicine, New Orleans, LA, United States.

IDCases. 2023 Sep 28;34:e01897. doi: 10.1016/j.idcr.2023.e01897. eCollection 2023.

Long bone osteomyelitis could mimic bony tumor in clinical presentation and imaging studies. We present a case of a 47-year man who presented with leg pain, weight loss and night sweats that initially was thought to be related to osteosarcoma, later suffered a pathologic fracture from osteomyelitis. This case highlights the importance of source control of infection and careful clinical evaluation including radiographic and pathologic findings that can help physicians to differentiate between competing diagnoses.

长骨骨髓炎在临床表现和影像学检查中可能会与骨肿瘤相似。我们报告一例47岁男性病例，该患者表现为腿痛、体重减轻和盗汗，最初被认为与骨肉瘤有关，后来因骨髓炎发生了病理性骨折。该病例强调了感染源控制以及包括影像学和病理结果在内的仔细临床评估的重要性，这有助于医生区分相互竞争的诊断。