Kamarulzaman A, Briggs R J, Fabinyi G, Richards M J
Department of Neurosurgery, Austin Hospital, Melbourne, Victoria, Australia.
Clin Infect Dis. 1996 Apr;22(4):638-41. doi: 10.1093/clinids/22.4.638.
Osteomyelitis of the skull is a rare disease. We describe two cases due to Salmonella typhimurium and review 10 previously reported cases of salmonella osteomyelitis of the skull. This infection is frequently complicated by extradural abscess, which may be asymptomatic. Diagnostic imaging by means of computed tomographic scanning with contrast or gadolinium-enhanced magnetic resonance imaging should be performed to detect this complication. A good outcome can be expected with a combination of surgery and antibiotic therapy.
颅骨骨髓炎是一种罕见疾病。我们描述了两例由鼠伤寒沙门氏菌引起的病例,并回顾了之前报道的10例颅骨沙门氏菌骨髓炎病例。这种感染常并发硬膜外脓肿,可能没有症状。应通过增强计算机断层扫描或钆增强磁共振成像进行诊断性影像学检查以检测这种并发症。手术和抗生素治疗相结合有望取得良好疗效。