Document Detail


Bifocal cryptococcal osteomyelitis: management of a patient with concurrent femur and rib infections.
MedLine Citation:
PMID:  21818749     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Abstract: A case of Cryptococcus neoformans osteomyelitis involving both the femur and rib is reported. A 50-year-old male presented with a 1-month history of a persistently painful right hip. Radiography revealed an osteolytic area in the subcapital region of the right femoral neck and trochanteric region, and magnetic resonance imaging (MRI) revealed an intramedullary lesion in the peritrochanteric region. A Tc99m whole body bone scan showed significantly increased uptake in the posterior aspect of the right 7th rib as well as the right femoral region. Hemiarthroplasty with a bipolar prosthesis was performed. Because a permeative osteolytic lesion was identified intraoperatively, surgical resection was also performed. A culture from intraoperative specimens yielded C. neoformans. The rib infection was not treated surgically. Intravenous fluconazole was administered postoperatively. The patient became seronegative for cryptococcal antigen with no further illness over the next five years.
Authors:
Herng-Jeng Jou; Fang-Tsai Lee; Matthew N Wang; Pei-Yu Yang; Nai-Phon Wang
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hip international : the journal of clinical and experimental research on hip pathology and therapy     Volume:  21     ISSN:  1724-6067     ISO Abbreviation:  Hip Int     Publication Date:    2011 Jul-Aug
Date Detail:
Created Date:  2011-08-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9200413     Medline TA:  Hip Int     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  495-7     Citation Subset:  IM    
Affiliation:
Department of Orthopedics, Kuang-Tien General Hospital and Hung Kuang University, Shalu, Taichung - Taiwan.
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