Subhadrabandhu T, Prichasuk S, Sathapatayavongs B
Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
J Bone Joint Surg Br. 1995 May;77(3):445-9.
Melioidosis is an uncommon infection caused by a Gram-negative bacillus, Pseudomonas pseudomallei. Only a few case reports of orthopaedic infection have been published in English, and most were of isolated septic arthritis or secondary to melioidosis of another organ. We have reviewed ten patients with localised melioidotic osteomyelitis; six had underlying conditions. We discuss the importance of obtaining a bacteriological diagnosis, and of surgical debridement as well as appropriate antibiotic therapy.
类鼻疽是由革兰氏阴性杆菌类鼻疽杆菌引起的一种罕见感染。英文文献中仅发表了少数关于骨科感染的病例报告，且大多数是孤立性脓毒性关节炎或继发于其他器官的类鼻疽。我们回顾了10例局限性类鼻疽性骨髓炎患者；其中6例有基础疾病。我们讨论了获得细菌学诊断、手术清创以及适当抗生素治疗的重要性。
