Blastomycosis

Case report of an isolated lesion in the distal fibula.

A. Alex Jahangir, Robert Heck

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Blastomycosis (Blastomyces dermatitidis) is a fungal infection that occurs primarily in the lungs, but 15% to 60% of patients with systemic blastomycosis have skeletal involvement. Because the symptoms and radiographic appearance of bony lesions are variable, diagnosis and treatment may be delayed if fungal infections are not included in the differential diagnosis for a patient with a lytic bone lesion. We present the case of a man in his late 30s with no local or systemic signs of infection in whom biopsy-curettage of a painful ankle lesion identified budding yeast consistent with North American blastomycosis. After treatment with itraconazole, the patient was symptom-free and had returned to his previous activities without pain or difficulty.

Original languageEnglish (US)
JournalAmerican journal of orthopedics (Belle Mead, N.J.)
Volume39
Issue number3
StatePublished - Jan 1 2010

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Blastomycosis
Fibula
Mycoses
Blastomyces
Saccharomycetales
Itraconazole
Curettage
Ankle
Differential Diagnosis
Biopsy
Bone and Bones
Pain
Lung
Therapeutics
Infection

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Blastomycosis : Case report of an isolated lesion in the distal fibula. / Jahangir, A. Alex; Heck, Robert.

In: American journal of orthopedics (Belle Mead, N.J.), Vol. 39, No. 3, 01.01.2010.

Research output: Contribution to journalArticle

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