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Is Blastomycosis Endemic in Upstate New York?: A Case Report and Review of Literature. | LitMetric

AI Article Synopsis

  • - A patient in Upstate New York was diagnosed with blastomycosis, showing skin and bone lesions but no respiratory or systemic symptoms.
  • - The patient experienced fast recovery after starting antifungal treatment, alongside surgical procedures to manage the bone lesion.
  • - Orthopaedic surgeons should recognize blastomycosis, even in areas where it's not common, as it can primarily affect bones; proper tissue testing and treatment can lead to successful healing.

Article Abstract

Case: We describe a case of biopsy-proven blastomycosis in a patient residing in Upstate New York with osseous and skin lesions and no pulmonary or constitutional symptoms. The patient had a rapid resolution of symptoms after the initiation of antifungal treatment, followed by curettage and cementation of her distal femoral lesion.

Conclusions: Orthopaedic surgeons should be aware of the presence of blastomycosis in nonendemic areas, especially since bone involvement may be the predominant manifestation. Tissue should be submitted for both histologic and microbiologic analysis. Antifungal therapy and surgical management if needed can result in a good outcome.

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Source
http://dx.doi.org/10.2106/JBJS.CC.19.00553DOI Listing

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