Aspergillus Osteomyelitis Of Metatarsal
Keywords:
Osteomyelitis, Aspergillus, metatarsal, diabetes mellitus
Abstract
Aspergillus osteomyelitis is a rare disease and involving metatarsal is the rarest one. Here we present a case of middle aged diabetic male person complaining of pain and swelling of right foot since one year. On X-ray and MRI studies, a lytic lesion was observed at the base of 4th metatarsal of right foot. Clinical diagnosis of chronic osteomyelitis was made. He underwent surgical curettage of the lesion and the necrotic material that obtained was sent for histopathological examination. H-E stain along with special stain PAS and GMS showed granulomatous inflammation with fungal colonies of Aspergillus. The patient was put on antifungal drugs and has been regularly followed-up. This study concluded that a clinical suspicion of aspergillus ostomyelitis should always be made on the symptoms of pain and swelling of lower extremities if associated with diabetes or any immunosupressed condition. Management of aspergillus ostomyelitis include both surgical modalities and antifungal drugs with regular follow up.DOI: 10.21276/APALM.1513References
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2. Maheswari J. Essential Orthopaedics. 4th edition. New Delhi: Jaypee Brothers Medical Publishers;2011.
3. Gabrielli E, Fothergill AW, Brescini L, et al. Osteomyelitis caused by Aspergillus species: a review of 310 reported cases. Clinical Microbiology and Infection. 2014 Jun 1;20(6):559-65.
4. Gamaletsou MN, Rammaert B, Bueno MA, et al. Aspergillus osteomyelitis: epidemiology, clinical manifestations, management, and outcome. Journal of Infection. 2014 May 31;68(5):478-93.
5. Sethi S, Siraj F, Kalra KL, Chopra P. Aspergillus vertebral osteomyelitis in immunocompetent patients. Indian journal of orthopaedics. 2012 Mar 1;46(2):246.
Published
2018-02-27
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