多灶性气肿性骨髓炎，急诊放射科医生的不容错过的诊断：病例报告与文献综述。

IF 1.7 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Emergency Radiology Pub Date : 2024-04-01 Epub Date: 2024-01-25 DOI:10.1007/s10140-024-02203-7

Debajyoti Saha, Ryan Tai, Vaishali Kapare, Ganesh Joshi

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引用次数: 0

摘要

气肿性骨髓炎（EO）是一种不常见的致命疾病，发病率和死亡率都很高。同时累及轴向和阑尾骨骼并伴有多灶性病变的病例更为罕见，文献中仅有几例报道。我们介绍了一例多灶性气肿性骨髓炎病例，患者是一名 56 岁的女性，同时患有气肿性肾盂肾炎并发腰肌和硬膜外脓肿。我们患者的致病菌是大肠杆菌。急诊放射科医生应了解这种情况，并将其与其他可能出现骨内气体的良性病变区分开来。鉴于这种情况的高发病率和高死亡率，及时诊断非常重要。本病例报告强调了 EO 骨内气体的特殊模式，这有助于对 EO 进行确诊。

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Multifocal emphysematous osteomyelitis, a do not miss diagnosis for the emergency radiologist: a case report with literature review.

Emphysematous osteomyelitis (EO) is an uncommon fatal condition with high morbidity and mortality. Simultaneous involvement of the axial and appendicular skeleton with multifocal disease is even rarer, with only a few cases being reported in the literature. We present a case of multifocal emphysematous osteomyelitis in a 56-year-old woman with concurrent emphysematous pyelonephritis complicated by psoas and epidural abscesses. The causative organism in our patient was Escherichia coli. Emergency radiologists should be aware of this condition and differentiate it from other benign entities that can present with intraosseous gas. Prompt diagnosis is important given the high morbidity and mortality with this condition. This case report emphasizes the specific pattern of intraosseous gas seen with EO, which can help diagnose EO with confidence.

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来源期刊

Emergency Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

4.60

自引率

4.50%

发文量

期刊介绍： To advance and improve the radiologic aspects of emergency careTo establish Emergency Radiology as an area of special interest in the field of diagnostic imagingTo improve methods of education in Emergency RadiologyTo provide, through formal meetings, a mechanism for presentation of scientific papers on various aspects of Emergency Radiology and continuing educationTo promote research in Emergency Radiology by clinical and basic science investigators, including residents and other traineesTo act as the resource body on Emergency Radiology for those interested in emergency patient care Members of the American Society of Emergency Radiology (ASER) receive the Emergency Radiology journal as a benefit of membership!