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Femoral osteomyelitis due to Aspergillus nidulans in a patient with chronic granulomatous disease.

TitleFemoral osteomyelitis due to Aspergillus nidulans in a patient with chronic granulomatous disease.
Publication TypeJournal Article
Year of Publication2003
AuthorsDotis, J., Panagopoulou P., Filioti J., Winn R., Toptsis C., Panteliadis C., & Roilides E.
JournalInfection
Volume31
Issue2
Pagination121-4
Date Published2003 Mar
ISSN0300-8126
KeywordsAdolescent, Amphotericin B, Aspergillosis, Aspergillus nidulans, Femur, Granulomatous Disease, Chronic, Humans, Male, Osteomyelitis, Tomography, X-Ray Computed
Abstract

13 cases of osteomyelitis caused by Aspergillus nidulans have been previously reported in patients with chronic granulomatous disease (CGD). All of them have been associated with simultaneous pulmonary infection and have had an extremely poor outcome. We report an unusual case of femoral osteomyelitis due to A. nidulans in a 16-year-old male with CGD, without pulmonary involvement. Treatment with liposomal amphotericin B and granulocyte colony-stimulating factor as well as extensive surgical debridement followed by prolonged treatment with itraconazole resulted in an excellent clinical response.

DOI10.1007/s15010-002-2167-1
Alternate JournalInfection
PubMed ID12682820

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