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首页> 外文期刊>Journal of pediatric orthopaedics. Part B >Treatment of acute salmonella epiphyseal osteomyelitis using computed tomography-guided drainage in a child without sickle cell disease.
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Treatment of acute salmonella epiphyseal osteomyelitis using computed tomography-guided drainage in a child without sickle cell disease.

机译：在没有镰状细胞病的儿童中，使用计算机断层扫描引导的引流术治疗急性沙门氏菌epi骨骨髓炎。

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摘要

Salmonella osteomyelitis occurs infrequently in children without sickle cell disease. Similarly, acute osteomyelitis of the epiphysis has been rarely reported. We present a case of primary epiphyseal osteomyelitis caused by Salmonella in the distal femur of an otherwise healthy 17-month-old child. Before isolating an organism, parenteral nafcillin provided ineffective clinical, radiographic, and laboratory responses. Repeated fluoroscopic-guided percutaneous surgical drainages allowed for identification of the Salmonella, but did not resolve the epiphyseal infection, as the infection focus was missed. In the effort to eradicate the infection yet minimize further trauma to the epiphysis, computed tomography-guided drainage was performed and the infection subsequently resolved. Owing to its greater localization accuracy and minimal invasiveness, the computed tomography-guided intervention allowed for precise drainage without compromising the contiguous growth plate. At latest follow-up, the patient was ambulating well, had a normal knee examination, and had no evidence of leg length discrepancy or growth disturbance.
机译：无镰状细胞病的儿童很少出现沙门氏菌性骨髓炎。同样，很少有骨reported的急性骨髓炎报道。我们提出了一例由沙门氏菌引起的原发性epi骨骨髓炎的病例，该沙门氏菌是一个其他17个月大的健康儿童的股骨远端。在分离生物体之前，肠胃外萘夫西林提供无效的临床，影像学和实验室反应。重复的荧光镜引导下经皮外科引流术可以鉴定沙门氏菌，但不能解决骨s感染，因为错过了感染的重点。为了消除感染，同时最大程度地减少对骨physi的伤害，进行了以计算机断层摄影术引导的引流术，并随后解决了感染。由于其较高的定位精度和最小的侵入性，计算机断层摄影术引导的干预措施可在不损害连续生长板的情况下进行精确引流。在最新的随访中，患者的活动能力良好，膝关节检查正常，没有腿长差异或生长障碍的迹象。

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