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经血行感染的伤寒沙门菌性桡骨骨髓炎。病例报告。

Hematogenous Salmonella typhi osteomyelitis of the radius. A case report.

作者信息

Carlson D A, Dobozi W R

机构信息

Section of Orthopaedic Trauma and Reconstructive Surgery, Loyola University Medical Center, Maywood, IL.

出版信息

Clin Orthop Relat Res. 1994 Nov(308):187-91.

PMID:7955682
Abstract

Salmonella typhi osteomyelitis is an uncommon disease, usually associated with sickle cell anemia and other hemoglobinopathies, as well as with other disease states. In this case, Salmonella osteomyelitis was apparently caused by hematogenous spread after typhoid or enteric fever. After bone debridement, a segmental defect of the midradius resulted. Normal function was restored after radical debridement, intravenous antibiotics, and delayed tricortical iliac crest bone grafting of the segmental defect.

摘要

伤寒沙门菌骨髓炎是一种罕见疾病,通常与镰状细胞贫血及其他血红蛋白病以及其他疾病状态相关。在该病例中,沙门菌骨髓炎显然是由伤寒或肠热病后的血行播散引起。骨清创术后,桡骨中段出现节段性缺损。经彻底清创、静脉使用抗生素以及对节段性缺损进行延迟性三皮质髂嵴骨移植后,恢复了正常功能。

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