An Unusual Differential Diagnosis of Sarcoma

Venkatesh Yatakarla, Manisha Biswal, Swapnil Patil
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Abstract

Osteomyelitis is an uncommon cause of a soft tissue mass and is diagnosed clinically by a blend of radiology, histology, and microbiology. This case report outlines a case of melioidotic osteomyelitis presenting as a suspected sarcoma. The diagnosis of melioidotic osteomyelitis was done against the diagnosis of sarcoma only after radiological evaluation, microbiological evidence of Burkholeria pseudomallei and osteomyelitis confirmed on histology. It is an extremely rare mimic of primary sarcoma of bone and the presentation described in the present case report appears to be unique. Keywords: Osteomyelitis; Sarcoma; Burkholeria pseudomallei
肉瘤的异常鉴别诊断
骨髓炎是导致软组织肿块的一个不常见原因,临床诊断需要结合放射学、组织学和微生物学。本病例报告概述了一例疑似肉瘤的髓样骨骨髓炎病例。在进行了放射学评估、微生物学证据表明存在假马勒布氏杆菌以及组织学证实存在骨髓炎后,才对照肉瘤的诊断结果确诊为髓鞘性骨髓炎。这是一种极其罕见的原发性骨肉瘤模拟病,本病例报告中描述的表现似乎是独一无二的。关键词:骨髓炎;肉瘤骨髓炎;肉瘤;伪马勒氏菌
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