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Endoscopic Surgery under Fluoroscopic Guidance Is Useful for Diagnosing and Treating Epiphyseal Osteomyelitis Caused by Mycobacterium Species
Joint Authors
Ochi, Hironori
Taira, Katsuaki
Nemoto, Naho
Oikawa, Noboru
Nagao, Soya
Takano, Tadamasa
Kaneko, Kazuo
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-06-13
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Osteomyelitis caused by Mycobacterium species may be difficult to diagnose and treat.
We report a case of treatment for osteomyelitis caused by Mycobacterium species in the epiphysis of the right proximal tibia.
A 28-month-old boy presented to a hospital with symptoms of fever and right knee pain.
He had been vaccinated with Mycobacterium bovis Bacille Calmette-Guérin (BCG) at five months of age.
The epiphyseal radiolucent lesion had increased in size and extended to the metaphysis through the physis on a plain radiograph of the right proximal tibia.
Surgical drainage and curettage of the lesion were performed with an endoscope under C-arm fluoroscopy.
The intraoperative histopathological examination revealed granulation tissue composed of caseous necrosis and Langerhans giant cells, revealing Mycobacterium species to be the causative pathogen.
Because of suspected osteomyelitis caused by BCG, the antituberculosis drugs were administered orally from an early postoperative stage.
A plain radiograph taken eight months postoperatively showed bone regeneration in the area of curettage and a slight physeal bridge, in addition to normalization of the inflammatory response on blood sampling.
It was possible to perform accurate diagnosis and rapid treatment for epiphyseal osteomyelitis caused by Mycobacterium species using endoscopic surgery under fluoroscopic guidance.
American Psychological Association (APA)
Ochi, Hironori& Taira, Katsuaki& Nemoto, Naho& Oikawa, Noboru& Nagao, Soya& Takano, Tadamasa…[et al.]. 2018. Endoscopic Surgery under Fluoroscopic Guidance Is Useful for Diagnosing and Treating Epiphyseal Osteomyelitis Caused by Mycobacterium Species. Case Reports in Orthopedics،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1148011
Modern Language Association (MLA)
Ochi, Hironori…[et al.]. Endoscopic Surgery under Fluoroscopic Guidance Is Useful for Diagnosing and Treating Epiphyseal Osteomyelitis Caused by Mycobacterium Species. Case Reports in Orthopedics No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1148011
American Medical Association (AMA)
Ochi, Hironori& Taira, Katsuaki& Nemoto, Naho& Oikawa, Noboru& Nagao, Soya& Takano, Tadamasa…[et al.]. Endoscopic Surgery under Fluoroscopic Guidance Is Useful for Diagnosing and Treating Epiphyseal Osteomyelitis Caused by Mycobacterium Species. Case Reports in Orthopedics. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1148011
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1148011