骨骨质炎,一个具有挑战性的诊断:儿科年龄的系统性审查
Ilaria Liguoro1, Sarah Ortis2, Francesco Mancuso3
1Division of Pediatrics, Department of Maternal and Child Health, University Hospital of Udine.
Journal of pediatric orthopedics. Part B
|July 2, 2025
概括
骨髓炎是一种罕见的骨感染. 早期诊断需要高度怀疑骨肌症状,因为成像和实验室测试可能是误导性的.
科学领域:
- 儿童传染病 儿童传染病
- 肌肉骨感染 肌肉骨感染
- 诊断成像 诊断成像 诊断成像
背景情况:
- 骨质炎是一种骨感染,很少影响头骨,由于异常呈现,早期诊断具有挑战性.
- 这种疾病的罕见性和各种表现可能会推迟识别和治疗,特别是在儿科患者群体中.
研究的目的:
- 系统地审查和综合有关儿童骨炎流行病学,临床表现,并发症和治疗的证据.
- 突出这一罕见的骨感染的关键诊断指标和治疗策略.
主要方法:
- 使用PubMed,Scopus和谷歌学者进行了系统的文献审查.
- 包括专注于患有头骨骨质炎的儿童的研究,分析病例系列和报告.
- 分析了13篇文章,包括17名患者 (14名儿童,3名新生儿).
主要成果:
- 在儿童中常见的症状包括疼痛 (100%) 和肩部运动受限 (100%),发烧79%.
- 敏感于甲西林的金黄色葡萄球菌是儿童中最常见的病原体;新生儿中B组链球菌.
- 平均抗生素治疗持续时间为51.5天;79%的儿科病例完全康复.
结论:
- 应该怀疑骨头骨髓炎与骨肌症状,即使没有发烧或局部症状.
- 正常的X射线和轻度炎症标志物并不排除诊断;磁共振成像 (MRI) 对疑似病例至关重要.
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