凸性骨髓炎:三个罕见病例
Zachary C Culley1, Samantha M Harrington1, Nicholas R Hauser1
1Radiology, Saint Louis University School of Medicine, St. Louis, USA.
Cureus
|March 16, 2026
概括
凸性骨髓炎是一种罕见的由产生气体的细菌引起的骨感染,需要及时诊断. 本报告详细介绍了三个病例,强调了成像发现和相关的病原体,以有效管理.
科学领域:
- 医疗成像医学成像
- 传染性疾病 传染性疾病
- 骨病理学 骨病理学 骨病理学
背景情况:
- 质性骨髓炎是一种罕见的疾病,其特点是骨内的气体,由产生气体的细菌引起.
- 它与显著的发病率和死亡率有关,需要快速诊断.
研究的目的:
- 报告三起突发性骨髓炎的不同病例.
- 突出这些病例的诊断成像发现和致病微生物.
- 强调及时诊断对患者结果的重要性.
主要方法:
- 一系列病例报告了三名患有乳性骨髓炎的患者.
- 对患者人口统计,临床表现,成像发现 (骨内气体) 和微生物培养的审查.
- 从血液和伤口培养物中识别细菌病原体.
主要成果:
- 病例1:80岁的急性髓性白血病患者呈现出骨,阴骨,脊椎和肋骨的骨髓炎,与*Enterococcus faecium*和*Clostridium* spp. 发现了. 确定了.
- 病例2:45岁的患有糖尿病的男性患有近亲左骨的骨髓炎,发现了*Proteus mirabilis*和*Clostridium perfringens*.
- 案例3:57岁的男性患有糖尿病,呈现左侧第五足骨头的骨髓炎,并确定了*Klebsiella pneumoniae*和*Proteus mirabilis*.
结论:
- 质性骨髓炎是一种严重的感染,需要迅速识别.
- 图像显示骨内气的成像对于诊断至关重要.
- 不同的细菌病原体可以导致这种情况,强调需要准确的微生物识别.
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