一例扩散性硬化骨髓炎 (DSO) 病例最初被诊断为细菌性骨髓炎,并通过使用双酸盐 (Ibandronate) 成功治疗
Kei-Ichiro Miura1, Misa Sumi2, Masataka Umeda3
1Department of Oral and Maxillofacial Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, JPN.
Cureus
|January 22, 2025
概括
扩散性硬化骨髓炎 (DSO) 是一种罕见的骨疾病. 双酸盐治疗有效地管理了一个病人.
科学领域:
- 牙科 牙科是指牙科的专业.
- 口腔病理学 口腔病理学
- 放射学 放射学是一门学科.
背景情况:
- 扩散性硬化骨髓炎 (DSO) 是一种非细菌性骨疾病,病因不明,没有确定的治疗方法.
- 诊断可能具有挑战性,通常最初被误认为是细菌性骨髓炎.
研究的目的:
- 提出一个错误诊断的下骨髓炎病例,最初用传统方法治疗.
- 突出诊断挑战和成功管理扩散性硬化骨髓炎 (DSO).
- 评估双酸盐治疗在管理DSO中的疗效.
主要方法:
- 一名48岁的男性患者最初被诊断患有慢性下骨髓炎.
- 诊断成像包括计算机断层扫描 (CT),磁共振成像 (MRI) 和骨扫描.
- 治疗包括在经过修订的DSO诊断后切换到双酸盐 (ibandronate 1 mg/月) 给药.
主要成果:
- 对于疑似细菌性骨髓炎的初始治疗是无效的.
- 根据成像发现,对DSO进行了诊断修订.
- 双酸盐治疗导致一个月内明显改善疼痛,六个月内几乎完全消除了骨再吸收.
- 这位患者在四年多的时间里一直没有患病.
结论:
- 迅速和准确的诊断对于区分DSO与细菌性骨髓炎至关重要.
- 双酸盐的使用是对DSO的有效治疗方法,导致长期控制疾病.
- 这一案例强调了在耐火性大骨炎症条件下考虑DSO的重要性.
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