Aspergillus osteomyelitis of the proximal humerus: a case report

被引:8
|
作者
Hall, Gregory L. [2 ]
Villanueva-Siles, Esperanza [1 ,2 ,3 ]
Borzykowski, Ross M. [2 ,3 ,4 ]
Gruson, Konrad I. [2 ,3 ,5 ]
Dorfman, Howard D. [2 ,3 ,5 ]
Geller, David S. [1 ,2 ,3 ,5 ]
机构
[1] Montefiore Med Ctr, Dept Surg Pathol, Bronx, NY 10467 USA
[2] Albert Einstein Coll Med, Bronx, NY 10467 USA
[3] Childrens Hosp Montefiore, Bronx, NY USA
[4] Montefiore Med Ctr, Dept Radiol, Bronx, NY 10467 USA
[5] Montefiore Med Ctr, Dept Orthopaed Surg, Bronx, NY 10467 USA
关键词
Aspergillus; Aspergillosis; Osteomyelitis; Antifungal pharmacology; INVASIVE ASPERGILLOSIS; INFECTIONS; ANTIFUNGAL; THERAPY;
D O I
10.1007/s00256-012-1401-x
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Aspergillus osteomyelitis is an extremely rare manifestation of invasive aspergillosis. Generally, patients in states of significant immune deficiency are very susceptible to invasive aspergillosis. We report a case of Aspergillus osteomyelitis of the proximal humerus in an immunocompetent patient that required aggressive oral antifungal therapy, surgical debridement, and placement of an antifungal-impregnated cement spacer. Subsequently, her shoulder was reconstructed using a reverse total shoulder prosthesis The clinical course, radiographic findings, histology, and management rationale are presented.
引用
收藏
页码:1021 / 1025
页数:5
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