Baratz M, Appleby D, Fu F H
Orthopedics. 1985 Dec;8(12):1492-4. doi: 10.3928/0147-7447-19851201-09.
Two cases are presented of immunologically compromised patients who developed acute pyogenic clavicular osteomyelitis from direct spread of a contiguous focus. Each patient's condition declined despite antibiotic therapy drainage procedures until survival was in doubt. Both showed striking reversal of their conditions and recovery when an aggressive surgical debridement (total claviculectomy) was performed. Acute pyogenic osteomyelitis of the clavicle is uncommon and rarely reported. The special implications in our patients of this disease of the adapted therapy are discussed.
本文介绍了两例免疫功能低下的患者，他们因邻近病灶的直接蔓延而发生急性化脓性锁骨骨髓炎。尽管进行了抗生素治疗和引流手术，但每位患者的病情仍不断恶化，生存情况一度堪忧。当进行积极的手术清创（全锁骨切除术）后，两位患者的病情均出现显著好转并康复。锁骨急性化脓性骨髓炎并不常见，报道也很少。本文讨论了针对我们患者这种疾病采用适应性治疗的特殊意义。
