Sirikulchayanonta V, Subhadrabandhu T
Department of Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Clin Orthop Relat Res. 1994 Nov(308):183-6.
Two cases of granulomatous osteomyelitis caused by melioidosis are reported. Histologically, the granulomatous lesions were indistinguishable from tuberculosis and required confirmation with microbiological culture. It is important that melioidosis be considered in the differential diagnosis of granulomatous osteomyelitis since the treatment is quite different from tuberculosis.
报告了两例由类鼻疽引起的肉芽肿性骨髓炎病例。从组织学上看,肉芽肿性病变与结核病难以区分,需要通过微生物培养来确诊。在肉芽肿性骨髓炎的鉴别诊断中考虑类鼻疽很重要,因为其治疗方法与结核病有很大不同。