Ruyssen S, Le Pennec M P, Perreau M, Ghnassia J C, Grosbuis S
Arch Fr Pediatr. 1983 Dec;40(10):803-5.
The authors report a case presenting with a very rare localization of brucellosis: the isolated involvement of a single bone of the metatarsus, in a child in otherwise excellent general condition. The lesions of the diaphysis and epiphyses induced a fragility of the epiphyseal cartilage and a minimal traumatism resulted in a detachment of the epiphysis which was the first clinical sign. The bacteriological examination of a sample of pus led to the early diagnosis of brucellosis, therefore allowing efficient treatment.
一名全身状况良好的儿童,仅累及一根跖骨。骨干和骨骺的病变导致骨骺软骨脆弱,轻微创伤导致骨骺分离,这是首个临床症状。对一份脓液样本进行细菌学检查后早期诊断出布鲁氏菌病,从而得以进行有效治疗。