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卡介苗所致股骨骨髓炎的保守治疗

Conservative treatment of a BCG osteomyelitis of the femur.

作者信息

Pauker M, Seelefreund M, Morain G

出版信息

Arch Dis Child. 1977 Apr;52(4):330-1. doi: 10.1136/adc.52.4.330.

DOI:10.1136/adc.52.4.330
PMID:871219
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1544658/
Abstract

A 3-year-old boy presented with an osteolytic lesion and periosteal reaction in the distal metaphysis of the right femur which failed to respond to immobilization and intensive antibiotic treatment. Since the infection seemed to be of low virulence and fewer than 4 years had elapsed since BCG vaccination BCG osteomyelitis was suspected. Tuberculostatic treatment led to rapid recovery and surgical measures were unnecessary.

摘要

一名3岁男孩右股骨远端干骺端出现溶骨性病变和骨膜反应，经固定和强化抗生素治疗无效。由于感染似乎毒力较低，且卡介苗接种后不到4年，怀疑为卡介苗性骨髓炎。抗结核治疗使病情迅速恢复，无需采取手术措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c9d/1544658/3fd20e5585b8/archdisch00818-0085-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c9d/1544658/cfb1fa475429/archdisch00818-0084-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c9d/1544658/3fd20e5585b8/archdisch00818-0085-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c9d/1544658/cfb1fa475429/archdisch00818-0084-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c9d/1544658/3fd20e5585b8/archdisch00818-0085-a.jpg

相似文献

1
Conservative treatment of a BCG osteomyelitis of the femur.卡介苗所致股骨骨髓炎的保守治疗
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引用本文的文献

1
Bacillus Calmette-Guérin Vaccine-Related Osteomyelitis in Immunocompetent Children in Saudi Arabia: A Narrative Review.沙特阿拉伯免疫功能正常儿童中卡介苗相关骨髓炎：一项叙述性综述
Cureus. 2022 Dec 21;14(12):e32762. doi: 10.7759/cureus.32762. eCollection 2022 Dec.

本文引用的文献

1
On tuberculosis of the bones and joints of BCG vaccinated children.关于接种卡介苗儿童的骨关节结核
Acta Paediatr (Stockh). 1954 May;43(3):252-8. doi: 10.1111/j.1651-2227.1954.tb04024.x.
2
BCG-osteomyelitis and -osteoarthritis as a complication following BCG-vaccination.卡介苗接种后发生的并发症——卡介苗性骨髓炎和骨关节炎。
Acta Orthop Scand. 1971;42(2):142-51. doi: 10.3109/17453677108989034.
3
Pulmonary tuberculosis due to B.C.G.卡介苗所致肺结核
Br Med J. 1971 Jul 24;3(5768):229-30. doi: 10.1136/bmj.3.5768.229.
4
[BCG arthritis and osteomyelitis].[卡介苗性关节炎和骨髓炎]
Harefuah. 1972 Nov 15;83(10):429-32.