PDF(Pubmed)
Abstract：
UNASSIGNED: Chronic osteomyelitis of the ribs in adolescents and adults is a rare condition. Current understanding of its diagnosis and management is primarily derived from case reports and small series studies. Here, we present a case of chronic rib osteomyelitis initially managed conservatively with antibiotics, followed by debridement, sequestrectomy, and continued antibiotic therapy. However, due to recurrence, rib excision was ultimately chosen as the definitive management approach.
UNASSIGNED: A 18-year-old male presents with a discharging sinus from the chest persisting for 6 months, with no history of fever, shivering, or weight loss. He sustained a blunt injury to the chest with a bamboo stick 9 months ago. Initially, the patient was treated with antibiotics, but there was no relief. He was later operated on with debridement, sequestrectomy, and antibiotics. Six weeks later, he again presented to us with a discharging sinus. Due to recurrence, he underwent re-operation with partial resection of the 6th rib. At the 1-year follow-up after rib excision, the patient is doing well, with all blood parameters within the normal range and without any systemic or local complications.
UNASSIGNED: Rib osteomyelitis is a rare complication of blunt chest trauma. Surgical management is indicated in cases of persistent infection. Sequestrectomy and antibiotics, though standard procedures in chronic osteomyelitis, may encounter failure due to various factors. Moreover, due to limited literature on chronic osteomyelitis of ribs, the standard approach to its management is not available. Partial excision of the rib with appropriate antibiotics in our case provided complete cure for the patient.
UNASSIGNED: A 18-year-old male presents with a discharging sinus from the chest persisting for 6 months, with no history of fever, shivering, or weight loss. He sustained a blunt injury to the chest with a bamboo stick 9 months ago. Initially, the patient was treated with antibiotics, but there was no relief. He was later operated on with debridement, sequestrectomy, and antibiotics. Six weeks later, he again presented to us with a discharging sinus. Due to recurrence, he underwent re-operation with partial resection of the 6th rib. At the 1-year follow-up after rib excision, the patient is doing well, with all blood parameters within the normal range and without any systemic or local complications.
UNASSIGNED: Rib osteomyelitis is a rare complication of blunt chest trauma. Surgical management is indicated in cases of persistent infection. Sequestrectomy and antibiotics, though standard procedures in chronic osteomyelitis, may encounter failure due to various factors. Moreover, due to limited literature on chronic osteomyelitis of ribs, the standard approach to its management is not available. Partial excision of the rib with appropriate antibiotics in our case provided complete cure for the patient.
摘要：
■青少年和成人的肋骨慢性骨髓炎是一种罕见的疾病。目前对其诊断和管理的理解主要来自病例报告和小型系列研究。这里,我们介绍了一例慢性肋骨骨髓炎，最初使用抗生素保守治疗，接着是清创,割骨切除术,并继续抗生素治疗。然而,由于复发,最终选择肋骨切除术作为确定的治疗方法。
■一名18岁的男性表现为持续6个月的胸腔鼻窦，没有发烧史,颤抖,或减肥。9个月前，他用竹棍直伤了胸部。最初，患者接受了抗生素治疗，但没有任何解脱.他后来接受了清创手术，割骨切除术,和抗生素。六周后,他再次向我们展示了一个正在放电的鼻窦。由于复发,他接受了第6根肋骨部分切除的再次手术。在肋骨切除术后1年的随访中，病人做得很好，所有血液参数在正常范围内，没有任何全身或局部并发症。
■肋骨骨髓炎是钝性胸部创伤的一种罕见并发症。在持续感染的情况下，需要进行手术治疗。子宫切除术和抗生素,虽然慢性骨髓炎的标准程序，由于各种因素可能会遇到故障。此外，由于关于肋骨慢性骨髓炎的文献有限，其管理的标准方法不可用。在我们的病例中，用适当的抗生素部分切除肋骨可为患者提供完全治愈。
■一名18岁的男性表现为持续6个月的胸腔鼻窦，没有发烧史,颤抖,或减肥。9个月前，他用竹棍直伤了胸部。最初，患者接受了抗生素治疗，但没有任何解脱.他后来接受了清创手术，割骨切除术,和抗生素。六周后,他再次向我们展示了一个正在放电的鼻窦。由于复发,他接受了第6根肋骨部分切除的再次手术。在肋骨切除术后1年的随访中，病人做得很好，所有血液参数在正常范围内，没有任何全身或局部并发症。
■肋骨骨髓炎是钝性胸部创伤的一种罕见并发症。在持续感染的情况下，需要进行手术治疗。子宫切除术和抗生素,虽然慢性骨髓炎的标准程序，由于各种因素可能会遇到故障。此外，由于关于肋骨慢性骨髓炎的文献有限，其管理的标准方法不可用。在我们的病例中，用适当的抗生素部分切除肋骨可为患者提供完全治愈。
