Arthritis and Osteomyelitis due to <it>Aspergillus fumigatus</it>: A 17 years old boy with chronic granulomatous disease

<p>Abstract</p> <p>Background</p> <p>Invasive <it>Aspergillus </it>infections are frequently seen in immunocompromised patients but arthritis is a rare complication of <it>Aspergillus </it>infections in the absence of immune suppressive therapy,...

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Main Authors: Tabak Yalcın (Author), Balaban Neriman (Author), Colpan Aylin (Author), Ozoran Kursat (Author), Bodur Hurrem (Author), Kulacoglu Sezer (Author)
Format: Book
Published: BMC, 2003-01-01T00:00:00Z.
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Summary:<p>Abstract</p> <p>Background</p> <p>Invasive <it>Aspergillus </it>infections are frequently seen in immunocompromised patients but arthritis is a rare complication of <it>Aspergillus </it>infections in the absence of immune suppressive therapy, trauma or surgical intervention.</p> <p>Case presentation</p> <p>A 17 years old male patient with arthritis and patellar osteomyelitis of the left knee whose further investigations revealed chronic granulomatous disease as the underlying disease is followed. <it>Aspergillus fumigatus </it>was isolated from the synovial fluid and the tissue samples cultures. He was treated with Amphotericin B deoxicolate 0.7 mg/kg/day. Also surgical debridement was performed our patient. Amphotericin B nephrotoxicity developed and the therapy switched to itraconazole 400 mg/day. Itraconazole therapy were discontinued at the 6th month. He can perform all the activities of daily living including.</p> <p>Conclusion</p> <p>We think that, chronic granulomatous disease should be investigated in patients who have aspergillar arthritis and osteomyelitis.</p>
Item Description:10.1186/1476-0711-2-2
1476-0711