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脑膜炎球菌血症和弥散性血管内凝血后的骨骼病变。一种可识别的骨骼营养不良。

Skeletal lesions following meningococcemia and disseminated intravascular coagulation. A recognizable skeletal dystrophy.

作者信息

Robinow M, Johnson G F, Nanagas M T, Mesghali H

出版信息

Am J Dis Child. 1983 Mar;137(3):279-81. doi: 10.1001/archpedi.1983.02140290065017.

DOI:10.1001/archpedi.1983.02140290065017
PMID:6823928
Abstract

Partial destruction of the right humeral and right femoral head were discovered in a 30-month-old girl, two years after her recovery from meningococcal septicemia and disseminated intravascular coagulation (DIC). Additional findings were symmetrical epiphyseal-metaphyseal lesions of the lower femora and upper and lower tibiae. The combined skeletal lesions seem to be characteristic sequelae of infantile meningococcemia complicated by DIC. Since this condition is no longer uniformly fatal, the characteristic skeletal dystrophy will be encountered more frequently and should be recognized by radiologists, pediatricians, and orthopedists. The features shared by our patient and the seven previously published cases are presented.

摘要

在一名30个月大女童身上发现右肱骨和右股骨头部分破坏,这是在她从脑膜炎球菌败血症和弥散性血管内凝血(DIC)康复两年后出现的。其他发现包括双侧股骨下端以及胫骨干骺端的对称性病变。这些合并的骨骼病变似乎是婴儿脑膜炎球菌血症并发DIC的特征性后遗症。由于这种疾病不再一定会致命,其特征性骨骼发育不良将会更频繁地遇到,放射科医生、儿科医生和骨科医生都应认识到这一点。本文呈现了我们的患者与之前发表的7例病例所共有的特征。

相似文献

1
Skeletal lesions following meningococcemia and disseminated intravascular coagulation. A recognizable skeletal dystrophy.脑膜炎球菌血症和弥散性血管内凝血后的骨骼病变。一种可识别的骨骼营养不良。
Am J Dis Child. 1983 Mar;137(3):279-81. doi: 10.1001/archpedi.1983.02140290065017.
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引用本文的文献

1
MRI evaluation and follow-up of bone necrosis after meningococcal infection and disseminated intravascular coagulation.脑膜炎球菌感染和弥散性血管内凝血后骨坏死的MRI评估及随访
Pediatr Radiol. 1993;23(6):429-31. doi: 10.1007/BF02012440.
2
Widespread bone infarction complicating meningococcal septicaemia and disseminated intravascular coagulation.广泛骨梗死并发脑膜炎球菌败血症和弥散性血管内凝血。
Br Med J (Clin Res Ed). 1984 Jan 14;288(6411):111-2. doi: 10.1136/bmj.288.6411.111.
3
Acquired bone dysplasia secondary to catheter-related complications in the neonate.
Pediatr Radiol. 1986;16(1):43-6. doi: 10.1007/BF02387504.
4
Late osteoarticular lesions following meningococcemia with disseminated intravascular coagulation.脑膜炎球菌血症伴弥散性血管内凝血后的晚期骨关节炎病变
Pediatr Radiol. 1989;19(3):199-202. doi: 10.1007/BF02388656.