- 期刊
Osteomyelitis of the Foot-Report of An Unusual Clinical Presentation of Salmonella Group C Infection
足部骨髓炎－由沙門氏C型桿菌所導致的不尋常臨床病例報告
摘要
沙門氏桿菌造成的局部組織感染較少在人類中被描述。在長骨的骨髓炎中最常被分離出來的菌種是金黃色葡萄球菌及凝固酵素陰性的葡萄球菌。由沙門桿菌造成的骨髓炎在文獻上較少被提及。本文報告一例由C型沙門桿菌造成的跗骨骨髓炎的少見病例，經由清創手術及抗生素治療之後痊癒。總而言之，對一個局部的傷口而言，一個有組織的思維是很重要的，不只是為了診斷，同時也是為了治療。一個局部的傷口可能是全身性感染的表徵。即使面對特殊的組織感染或是骨髓炎，適當的引流，徹底的清創，空腔的處理，傷口保護及為期六週有效抗生素的使用，仍是很有用的原則。
關鍵字
無資料並列摘要
Localized tissue infection induced by Salmonella has been rarely described in humans. Staphylococcus aureus and coagulase negative Staphylococcus species are the most commonly isolated pathogens in long bone osteomyelitis. Osteomyelitis induced by Salmonella species was less common in the literature. We reported a rare case of osteomyelitis of tarsus caused by Salmonella group C who was treated successfully with surgical debridement and antibiotics. In conclusion, a structured thinking is important for a localized wound, not only for diagnosis but also for treatment. A localized wound may be a presentation of systemic infection. Adequate drainage, thorough debridement, dead space management, wound protection, and a 6-week period of specific antimicrobial coverage are still useful principle in facing specific soft tissue infection or osteomyelitis.
延伸閱讀
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