イシヒアル結核性骨髄炎: 血小板豊富なプラズマ注射後の珍しい合併症: 症例報告
Elad Epshtein1, Yiftach Bar, Moshe Dahan
1Department of Orthopaedic Surgery, Shamir Medical Center (Assaf Harofeh Hospital), Zerifin, Israel.
JBJS case connector
|February 12, 2026
まとめ
ハムストリング・テンディノパシーに対する血小板豊富なプラズマ (PRP) の注射は,まれなイスキアル骨髄炎を引き起こす可能性があります. 骨バイオプシーによる早期診断と抗生物質治療により,手術なしで感染を治すことができます.
科学分野:
- 整形外科 整形外科
- 感染症 感染症とは
- 放射線学 放射線学
背景:
- プロキシマル・ハムストリング・テンディノパシーは,血小板豊富なプラズマ (PRP) の注射で治療される一般的な疾患です.
- PRP注射後の合併症はまれですが,重症になる可能性があります.
- イスキア骨髄炎は,骨盤領域で起こり得る深刻な骨の感染症です.
研究 の 目的:
- PRP注射による近接性ハムストリング肌痛症による第1例のイスキアル骨髄炎を報告する.
- このようなケースでは,最小侵襲的な骨生検の診断的有用性を強調する.
- PRP注射後の感染に対する警戒の重要性を強調するためです.
主な方法:
- 48歳の男性患者は,ハムストリング・テンディノパシーのために複数のPRP注射を受けた.
- MRIとPET-CTを含むイメージング研究では,イシヒアル骨の感染症の兆候が明らかになりました.
- CT誘導アスピレーションを行い,閉じた内視鏡による骨バイオプシーを行った.
- 感染症は,静脈内投与および経口投与の抗生物質のコースで治療されました.
主要な成果:
- 骨の生検により,Pseudomonas aeruginosaの感染が確認されました.
- 患者の炎症マーカーは,抗生物質治療の11週間後に正常化しました.
- 石頭骨髄炎の放射線学的解消は,治療後5ヶ月で観察されました.
- 手術による脱血は不要でした.
結論:
- この症例は,PRPに関連した石頭骨髄炎の最初の文書化された症例を表しています.
- 最低侵襲的骨盤生検は,骨の深い部位にある感染症の診断に不可欠です.
- 感染の兆候に対する注射後のモニタリングは,迅速な管理に不可欠です.
関連する概念動画
Hemodialysis II: Procedure and Complications
970
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
970
Pneumonia III: Complications and Assessment
909
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
909
Diabetes: Symptoms, Diagnosis, and Complications
2.4K
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
2.4K
Asthma-III: Symptoms and Complications
3.4K
Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Classification of Asthma
3.4K
Data Reporting and Recording
5.5K
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
5.5K
Types of Reports I: Hands-off Report
1.6K
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
1.6K


