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一名患有金黄色葡萄球菌骨髓炎的儿科患者发生腘静脉深静脉血栓形成：病例报告。 （注：原文中“S osteomyelitis”推测可能是“Staphylococcus osteomyelitis”即金黄色葡萄球菌骨髓炎，具体需结合完整文献判断）

Popliteal deep vein thrombosis in a pediatric patient with S osteomyelitis: a case report.

作者信息

Hansen Joshua, Ngatuvai Micah, Bermudez Alexys, Salisbury Joshua, Klahs Kyle, Handel Gilbert, Abdelgawad Amr, Thabet Ahmed M

机构信息

Texas Tech University of the Health Sciences, El Paso, Department of Orthopaedic Surgery and Rehabilitation, 4801 Alberta Ave, El Paso, TX 79905,United States.

Tripler Army Medical Center, Department of Orthopaedic Surgery, 1 Jarrett White Rd, TRIPLER AMC, HI 96859,United States.

出版信息

J Surg Case Rep. 2024 Dec 5;2024(12):rjae758. doi: 10.1093/jscr/rjae758. eCollection 2024 Dec.

DOI:10.1093/jscr/rjae758
PMID:39664272
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11630338/
Abstract

An 11-year-old male presented with severe pain in the left knee after a minor twisting injury. Magnetic resonance imaging (MRI) revealed a large fluid collection posterior to the distal femur. CT and intraoperative findings revealed left popliteal vein thrombosis. Irrigation and debridement were performed, and intraoperative cultures confirmed osteomyelitis due to pan-sensitive . Treatment included antibiotic and anticoagulation therapy. At 6 months, the patient was asymptomatic and cleared for full activity. This case demonstrates that deep vein thrombosis (DVT) can occur with osteomyelitis, a previously undescribed association. Clinicians should maintain suspicion for DVT with any causative organism in osteomyelitis.

摘要

一名11岁男性在轻微扭伤后出现左膝剧痛。磁共振成像（MRI）显示股骨远端后方有大量液体积聚。CT和术中检查结果显示左腘静脉血栓形成。进行了冲洗和清创，术中培养证实为全敏感菌所致的骨髓炎。治疗包括抗生素和抗凝治疗。6个月时，患者无症状，可恢复完全活动。该病例表明骨髓炎可并发深静脉血栓形成（DVT），这是一种此前未被描述的关联。对于骨髓炎的任何致病微生物，临床医生都应怀疑有DVT。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cf3/11630338/8bb6cd98904a/rjae758f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cf3/11630338/c3621a578df2/rjae758f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cf3/11630338/d22c058dc61d/rjae758f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cf3/11630338/7c2e9e59ba65/rjae758f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cf3/11630338/8bb6cd98904a/rjae758f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cf3/11630338/c3621a578df2/rjae758f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cf3/11630338/d22c058dc61d/rjae758f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cf3/11630338/7c2e9e59ba65/rjae758f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cf3/11630338/8bb6cd98904a/rjae758f4.jpg

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本文引用的文献

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Acute Hematogenous Osteomyelitis in Children.儿童急性血源性骨髓炎
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Differentiation of Deep Venous Thrombosis Among Children With or Without Osteomyelitis.患有或未患有骨髓炎的儿童深静脉血栓形成的鉴别
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Deep vein thrombosis and septic pulmonary emboli with MRSA osteomyelitis in a pediatric patient.一名儿科患者出现深静脉血栓形成、伴有耐甲氧西林金黄色葡萄球菌骨髓炎的脓毒性肺栓塞。
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Deep venous thrombosis associated with acute hematogenous osteomyelitis in children.儿童急性血源性骨髓炎并发深静脉血栓形成。
Orthop Traumatol Surg Res. 2010 Dec;96(8):890-3. doi: 10.1016/j.otsr.2010.05.006. Epub 2010 Sep 15.
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Childhood osteomyelitis-incidence and differentiation from other acute onset musculoskeletal features in a population-based study.一项基于人群的研究：儿童骨髓炎的发病率及其与其他急性起病的肌肉骨骼特征的鉴别诊断
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