Osteomyelitis and pyoarthritis resulting from local paracoccidioidomycosis in an immunocompetent patient: a case report

Michel Santana Michelan; Eloy de Ávila Fernandes; Leonardo Furtado Freitas; Rodrigo Hoeller Ribeiro; Marília Magri Milano; Soraya Silveira Monteiro

doi:10.1186/1752-1947-6-342

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Osteomyelitis and pyoarthritis resulting from local paracoccidioidomycosis in an immunocompetent patient: a case report

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Osteomyelitis and pyoarthritis resulting from local paracoccidioidomycosis in an immunocompetent patient: a case report

Michel Santana Michelan, Eloy de Ávila Fernandes, Leonardo Furtado Freitas, Rodrigo Hoeller Ribeiro, Marília Magri Milano and Soraya Silveira Monteiro

Journal of medical case reports, Vol.6(1), pp.342-342

10/08/2012

DOI: 10.1186/1752-1947-6-342

PMCID: PMC3485164

PMID: 23043817

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Abstract

Introduction Paracoccidioidomycosis is a type of mycosis that is endemic to Brazil and is triggered by the fungus Paracoccidioides brasiliensis. Isolated bone involvement in this disease is very rare, especially in children. To the best of our knowledge this report documents the first case of an immunocompetent pediatric patient in which paracoccidioidomycosis of the hip articulation was the sole manifestation of the disease (that is, there were no pulmonary or skin lesions). Case presentation An 11-year-old Brazilian Caucasian boy from a rural area was examined in the orthopedic ward of our emergency department. Our patient reported a three-month history of pain in the right hip with intermittent claudication and also complained of recurring episodes of intense pain and an inability to walk, which he had been experiencing for the previous five days. He additionally presented with a fever that had persisted for two days. Our patient’s medical history did not include any clinical respiratory manifestations, skin lesions, history of trauma or immunosuppression risk factors. Conclusions This is one of the very few reported cases of isolated articular involvement in osteomyelitis in a pediatric immunocompetent patient. Paracoccidioidomycosis should be considered among the differential diagnoses in such cases, especially in cases of patients who reside in rural areas where the condition is considered to be endemic, in order to administer the proper course of treatment in a timely fashion and improve the chances of a favorable prognosis.

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Title: Subtitle: Osteomyelitis and pyoarthritis resulting from local paracoccidioidomycosis in an immunocompetent patient: a case report
Creators: Michel Santana Michelan - Hospital do Servidor Público Estadual
Eloy de Ávila Fernandes - Hospital do Servidor Público Estadual
Leonardo Furtado Freitas - Hospital do Servidor Público Estadual
Rodrigo Hoeller Ribeiro - Hospital do Servidor Público Estadual
Marília Magri Milano - Hospital do Servidor Público Estadual
Soraya Silveira Monteiro - Hospital do Servidor Público Estadual
Resource Type: Journal article
Publication Details: Journal of medical case reports, Vol.6(1), pp.342-342
Publisher: BioMed Central
DOI: 10.1186/1752-1947-6-342
PMID: 23043817
PMCID: PMC3485164
ISSN: 1752-1947
eISSN: 1752-1947
Language: English
Date published: 10/08/2012
Academic Unit: Radiology
Record Identifier: 9984697725802771

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