Document Detail

Cryptococcal rib osteomyelitis in a pediatric patient.
MedLine Citation:
PMID:  9607497     Owner:  NLM     Status:  MEDLINE    
A case of cryptococcal rib osteomyelitis in a pediatric patient is described. Isolated cryptococcal osteomyelitis in pediatric patients is a rare entity, and only 10 cases have been reported in the literature. The radiological findings are reviewed to include chest films, nuclear bone scan, and computed tomographic imaging scan. Because of its rarity, the management of isolated cryptococcal osteomyelitis is controversial. Although antifungal antibiotics and surgery are the two therapeutic options, the treatment of cryptococcal osteomyelitis has not been standardized yet. This patient was treated successfully with limited resection of the involved rib and antifungal chemotherapy. This article describes the second case in the literature of cryptococcal rib osteomyelitis in a pediatric patient, reviews the literature of similar cases, and evaluates the current role of surgery in its treatment.
I Raftopoulos; J L Meller; V Harris; H M Reyes
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  33     ISSN:  0022-3468     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  1998 May 
Date Detail:
Created Date:  1998-07-30     Completed Date:  1998-07-30     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  771-3     Citation Subset:  IM    
Department of Surgery, Cook County Children's Hospital, Chicago, IL, USA.
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MeSH Terms
Amphotericin B / therapeutic use
Antifungal Agents / therapeutic use
Combined Modality Therapy
Cryptococcosis / diagnosis*,  therapy*
Cryptococcus neoformans / isolation & purification*
Disease-Free Survival
Osteomyelitis / diagnosis*,  therapy*
Ribs / surgery*
Reg. No./Substance:
0/Antifungal Agents; 1397-89-3/Amphotericin B

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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