Arlet J, Bouteiller G, Durroux R, Sebbag D, Saint-Prix C, Arlet P, Naudon J
Rev Rhum Mal Osteoartic. 1981 Feb;48(2):101-6.
The authors present 11 cases of pubic or ischio-pubic osteitis of which ten had undergone bone biopsy by aspiration, needle biopsy, or surgery. In 7 cases, a germ was isolated by culture of the bone sample. In 2 cases, there were purulent and necrotic lesions on pathological examination of the fragment. In 6 cases, the bony lesions were mainly of the marrow with fibrosis and lymphocyte-plasma cell infiltration. In 5 of these 6 biopsies, the bacterial culture was positive. This subacute mononuclear osteitis may thus be a variety of bacterial osteitis. All the patients were treated with antibiotics which seemed necessary.
作者报告了11例耻骨或坐骨耻骨炎病例,其中10例接受了骨穿刺活检、针吸活检或手术活检。7例通过骨样本培养分离出细菌。2例碎片病理检查显示有脓性和坏死性病变。6例骨病变主要位于骨髓,伴有纤维化和淋巴细胞-浆细胞浸润。这6例活检中有5例细菌培养呈阳性。因此,这种亚急性单核细胞性骨炎可能是一种细菌性骨炎。所有患者均接受了抗生素治疗,这似乎是必要的。