Kudriavtsev V A, Udal'tsova G A, Vorypin D M
Vestn Khir Im I I Grek. 1982 May;128(5):93-6.
The authors analyze 14 cases of acute hematogenic osteomyelitis of the vertebral column in children. Three variations of the clinical picture are described: meningitis-like, local and lightening types. Roentgenological symptoms were late to appear and certain patients might have no symptoms at all. Formation of purulent tuberculous abscesses near cartilaginous ends of ribs were observed and considered to be a characteristic feature of osteomyelitis of thoracic vertebrae in infants. The authors point to difficulties in opening the purulent abscesses and to the importance of complex treatment. Seven patients died.
作者分析了14例儿童急性血源性脊椎骨髓炎。描述了三种临床表现类型:脑膜炎样、局部型和闪电型。X线症状出现较晚,部分患者可能毫无症状。观察到在肋骨软骨端附近形成脓性结核脓肿,认为这是婴儿胸椎骨髓炎的一个特征。作者指出切开脓性脓肿存在困难以及综合治疗的重要性。7名患者死亡。