Sternocostal osteomyelitis due to Aspergillus after coronary angioplasty: a case report

Sternal osteomyelitis due to aspergillosis is extremely rare. Among all cases of invasive aspergillosis reported in the literature, the incidence of osteomyelitis is less than 3%. Aspergillosis mainly affects immunosuppressed patients. Clinical and radiological manifestation is nonspecific. Contamin...

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Published inThe Pan African medical journal Vol. 42; p. 226
Main Authors Ouladlahsen, Ahd, Jebbar, Sanaa, Benkiran, Laila, Marih, Latifa, Sodqi, Mustapha, Maha, Soussi-Abdellaoui, Chefchaouini, Zouhair, Idali, Brahim, Zouhair, Chaoui
Format Journal Article
LanguageFrench
Published Uganda 2022
Subjects
osteomyelitis
Aspergillus
case report
sternum
diabetes
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Abstract Sternal osteomyelitis due to aspergillosis is extremely rare. Among all cases of invasive aspergillosis reported in the literature, the incidence of osteomyelitis is less than 3%. Aspergillosis mainly affects immunosuppressed patients. Clinical and radiological manifestation is nonspecific. Contamination is primarily caused by inhaling spores, but it can also directly reach a vulnerable area after medical procedure. Diagnosis is often difficult and may take several weeks, in particular when aspergillosis is not suspected. Positive diagnosis is based on imaging tests but it is confirmed by anatomopathological and/or mycological examinations. Prognosis mainly depends on early administration of treatment. We here report the case of a 63-year-old diabetic patient with sternocostal osteomyelitis due to Aspergillus occurred after coronary angioplasty.
AbstractList Sternal osteomyelitis due to aspergillosis is extremely rare. Among all cases of invasive aspergillosis reported in the literature, the incidence of osteomyelitis is less than 3%. Aspergillosis mainly affects immunosuppressed patients. Clinical and radiological manifestation is nonspecific. Contamination is primarily caused by inhaling spores, but it can also directly reach a vulnerable area after medical procedure. Diagnosis is often difficult and may take several weeks, in particular when aspergillosis is not suspected. Positive diagnosis is based on imaging tests but it is confirmed by anatomopathological and/or mycological examinations. Prognosis mainly depends on early administration of treatment. We here report the case of a 63-year-old diabetic patient with sternocostal osteomyelitis due to Aspergillus occurred after coronary angioplasty.
Author Jebbar, Sanaa
Marih, Latifa
Benkiran, Laila
Sodqi, Mustapha
Maha, Soussi-Abdellaoui
Idali, Brahim
Ouladlahsen, Ahd
Chefchaouini, Zouhair
Zouhair, Chaoui
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Keywords osteomyelitis
Aspergillus
case report
sternum
diabetes
Language French
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