Sowden D, Kemp R, Dawson D
Department of Microbiology, Royal Brisbane Hospital.
Pathology. 1993 Jul;25(3):308-9. doi: 10.3109/00313029309066595.
A case of osteomyelitis resulting from infection with Mycobacterium haemophilum in a patient with the Acquired Immunodeficiency Syndrome (AIDS) and Hodgkin's disease is described. The clinical features and response to therapy are examined and compared to previous reported cases. Mycobacterium haemophilum infection in immunocompromised patients usually results in cutaneous lesions but osteomyelitis may be the presenting feature. Tissue samples should be obtained early for microbiological examination and treatment should consist of surgical debridement and appropriate antimicrobial therapy.
本文描述了一例获得性免疫缺陷综合征(AIDS)合并霍奇金病患者因嗜血性分枝杆菌感染导致骨髓炎的病例。研究了其临床特征及对治疗的反应,并与既往报道的病例进行了比较。免疫功能低下患者的嗜血性分枝杆菌感染通常导致皮肤病变,但骨髓炎可能是首发表现。应尽早获取组织样本进行微生物学检查,治疗应包括手术清创和适当的抗菌治疗。