骨髓骨质炎的Clivus次要的菌菌病
Ramiz S Ahmad1, Davin J Evanson1, Michael A Romeo2
1Department of Radiology, Drexel University College of Medicine, Wyomissing, USA.
Cureus
|August 7, 2023
概括
菌性骨髓炎是一种罕见的真菌感染,会影响骨,特别是在免疫功能低下的患者中. 这一案例突出了成像检查的关键发现,并通过活检确认了诊断.
科学领域:
- 医学真菌学 医学真菌学
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 骨骨髓炎是一种罕见但严重的疾病.
- 粘菌菌是一种由Mucor引起的真菌感染,可以导致这种骨感染.
- 免疫功能低下的人和患有糖尿病的人面临更高的风险.
研究的目的:
- 为了报告一个罕见的裂骨骨质炎病例,该病例是粘膜菌的次要原因.
- 讨论这项具有挑战性的诊断的特征性放射学发现.
- 强调将成像与组织病理学结合在一起,以准确诊断的重要性.
主要方法:
- 一个63岁的男性患者的病例介绍.
- 计算机断层扫描血管造影 (CTA) 用于初始成像.
- 进行内镜活检和组织病理学检查以确定确诊.
主要成果:
- 在CTA上识别的clivus内的气体.
- 组织病理学证实了粘膜菌病骨质炎.
- 与文献相关的成像发现的讨论.
结论:
- 骨骨质炎是罕见的实体,需要高度的临床怀疑.
- 放射学发现,虽然微妙,可以表明诊断.
- 活检和组织病理学对于最终的诊断和管理计划至关重要.
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