کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5653269 1407244 2016 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Clinico-radiological improvement in an immunocompetent patient presented with scedosporium apiospermum osteomyelitis
ترجمه فارسی عنوان
بهبود کلینیک رادیولوژیک در بیمار مبتلا به کمبود ایمنی که با استئومیلیت اسپیدوسپوریم آپیوپرموم
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
چکیده انگلیسی
Scedosporium apiospermum is frequently found as a saprophyte in soil, sewage and contaminated water. Its manifestations in immunocompetent patients are usually localised and in immunodeficient patients, it causes invasive systemic diseases. We are reporting the case of a 40-year-old male, who presented with pain, oedema and multiple discharging sinuses over the lateral aspect of the left foot with history of thorn prick. On examination, there were multiple active sinuses with tenderness and local rise in temperature. Calcaneum on palpation showed a thickened and irregular surface with limitation of ankle and subtalar movements. Blood investigations showed a moderate rise in ESR and CRP. X-rays showed typical features of chronic osteomyelitis with sclerosis, cavities and irregular bone contour. CT report showed features of osteomyelitis involving calcaneum, talus, cuneiforms and navicular bone with periarticular soft tissue involvement and mild focal collection in the calcaneum. On repeated culture, it was found to be scedosporium apiospermum fungus. We managed the case with voriconazole therapy and it responded with excellent clinical and radiological improvement by 9 months.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Clinical Orthopaedics and Trauma - Volume 7, Supplement 1, October–December 2016, Pages 134-137
نویسندگان
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