DISSEMINATED OSTEOMYELITIS FROM MYCOBACTERIUM-ULCERANS AFTER A SNAKEBITE

被引：47

作者：

HOFER, M

HIRSCHEL, B

KIRSCHNER, P

BEGHETTI, M

KAELIN, A

SIEGRIST, CA

SUTER, S

TESKE, A

BOTTGER, EC

机构：

[1] HOP CANTONAL UNIV,DIV INFECT DIS,CH-1211 GENEVA 4,SWITZERLAND

[2] HOP CANTONAL UNIV,UNITE ORTHOPEDIE PEDIAT,CH-1211 GENEVA 4,SWITZERLAND

[3] HOP CANTONAL UNIV,DEPT PEDIAT,CH-1211 GENEVA 4,SWITZERLAND

[4] HANNOVER MED SCH,INST MED MIKROBIOL,W-3000 HANNOVER 61,GERMANY

来源：

NEW ENGLAND JOURNAL OF MEDICINE | 1993年 / 328卷 / 14期

关键词：

D O I：

10.1056/NEJM199304083281405

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Atypical mycobacteria have been widely recognized as human pathogens only since the 1950s1. Multiple organs can be involved, in particular the skin and bones. However, disseminated infection is usually observed only in immunodeficient hosts. We describe a boy with an apparently normal immune system, who nevertheless had debilitating multifocal osteomyelitis associated with a growth-deficient acid-fast microorganism. The microorganism was identified as Mycobacterium ulcerans by DNA amplification and subsequent determination of the nucleic acid sequence. Case Report The patient, born in November 1985, was the fourth child of a farmer from West Africa. In 1989 he was bitten on his… © 1993, Massachusetts Medical Society. All rights reserved.

引用

页码：1007 / 1009

页数：3

共 15 条

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