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下肢感染的影像学表现：易患因素、非典型感染、类似疾病和鉴别特征。

Imaging of lower extremity infections: predisposing conditions, atypical infections, mimics, and differentiating features.

机构信息

Department of Imaging, Cedars-Sinai Medical Center, Los Angeles, CA, 90048, USA.

, Melbourne, Australia.

出版信息

Skeletal Radiol. 2024 Oct;53(10):2099-2120. doi: 10.1007/s00256-024-04589-4. Epub 2024 Jan 19.

DOI:10.1007/s00256-024-04589-4
PMID:38240759
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11371866/
Abstract

Imaging evaluation for lower extremity infections can be complicated, especially in the setting of underlying conditions and with atypical infections. Predisposing conditions are discussed, including diabetes mellitus, peripheral arterial disease, neuropathic arthropathy, and intravenous drug abuse, as well as differentiating features of infectious versus non-infectious disease. Atypical infections such as viral, mycobacterial, fungal, and parasitic infections and their imaging features are also reviewed. Potential mimics of lower extremity infection including chronic nonbacterial osteomyelitis, foreign body granuloma, gout, inflammatory arthropathies, lymphedema, and Morel-Lavallée lesions, and their differentiating features are also explored.

摘要

下肢感染的影像学评估可能较为复杂，尤其是在存在基础疾病和非典型感染的情况下。本文讨论了易感因素，包括糖尿病、外周动脉疾病、神经关节病和静脉药物滥用，以及感染性和非感染性疾病的鉴别特征。还回顾了病毒、分枝杆菌、真菌和寄生虫感染等非典型感染及其影像学特征。本文还探讨了下肢感染的潜在类似疾病，包括慢性非细菌性骨髓炎、异物肉芽肿、痛风、炎性关节病、淋巴水肿和 Morel-Lavallée 损伤，以及它们的鉴别特征。

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