Cryptococcal osteomyelitis of the humeral head initially diagnosed as avascular necrosis

Cryptococcal skeletal infections can lead to significant morbidity and mortality and should be considered in the differential diagnosis of lytic osseous lesions. Clinical and radiological similarities to various disorders may lead to delay in initiation of antifungal treatment. This report describes...

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Bibliographic Details
Published inSouthern medical journal (Birmingham, Ala.) Vol. 99; no. 10; pp. 1140 - 1141
Main Authors GOLDSHTEYN, Natalya, ZANCHI, Antonela, COOKE, Kenneth, AGHA, Rabia
Format Journal Article
LanguageEnglish
Published Hagerstown, MD Lippincott Williams & Wilkins 01.10.2006
Southern Medical Association
Subjects
Adult
Avascular necrosis
Biological and medical sciences
Biopsy
Cryptococcal infections
Cryptococcosis - diagnosis
Cryptococcosis - microbiology
Cryptococcus
Cryptococcus neoformans - isolation & purification
Diagnosis
Diagnosis, Differential
Female
General aspects
Human mycoses
Humans
Humerus
Infectious diseases
Magnetic Resonance Imaging
Medical sciences
Miscellaneous mycoses
Mycoses
Osteomyelitis - diagnosis
Osteomyelitis - microbiology
Osteonecrosis - diagnosis
United States
Infection
Medicine
Mycosis
Osteitis
Diseases of the osteoarticular system
Cryptococcosis
Humeral head
Diagnosis
Humerus
Necrosis
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Summary:Cryptococcal skeletal infections can lead to significant morbidity and mortality and should be considered in the differential diagnosis of lytic osseous lesions. Clinical and radiological similarities to various disorders may lead to delay in initiation of antifungal treatment. This report describes a case of cryptococcal osteomyelitis of humeral bone in a 19-year-old female, emphasizing the clinical presentation, diagnostic approach and treatment options.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0038-4348
1541-8243
DOI:10.1097/01.smj.0000224744.75040.13