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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo)
DOI: 10.1055/s-0042-1742604
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Fungal Osteomyelitis of the Hip with Septic Arthritis: Case Report

Article in several languages: português | English
João Rodolfo Radtke Gonçalves 
1   Divisão em cirurgia do Quadril, Instituto de Ortopedia e Traumatologia, Blumenau, SC, Brasil
2   Departamento de Ortopedia e Traumatologia, Hospital Santa Isabel (HSI), Blumenau, SC, Brasil
,
Karine Emanuele Tres 
3   Universidade Regional Blumenau (FURB), Blumenau, SC, Brasil
,
Laura Serraglio Narciso 
3   Universidade Regional Blumenau (FURB), Blumenau, SC, Brasil
,
Ricardo Corrêa 
2   Departamento de Ortopedia e Traumatologia, Hospital Santa Isabel (HSI), Blumenau, SC, Brasil
4   Departamento de Ortopedia da Universidade Regional Blumenau (FURB), Blumenau, SC, Brasil
,
Rodrigo Duarte Perez 
5   Departamento de Infectologia, Hospital Santa Isabel (HSI), Blumenau, SC, Brasil
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Abstract

Fungal osteomyelitis, especially associated with septic arthritis, is uncommon in Brazil; therefore, sometimes it is difficult to diagnose and treat it. We report the case of a young patient, with no immunosuppressive risk factor, with osteomyelitis leading to septic arthritis of the hip. The diagnosis was performed after surgical drainage and visualization of Cryptococcus neoformans at pathological anatomy. Antifungal treatment resulted in complete remission of the symptoms. Since there is no consensus on the treatment of fungal osteomyelitis, this case report aims to inform orthopedists about the importance of hip arthritis differential diagnosis and the good evolution of clinical treatment after drainage and pathogen isolation.

Keywords

osteomyelitis - arthritis, infectious - orthopedic procedures

Financial Support

There was no financial support from public, commercial, or non-profit sources.


Study developed at Hospital Santa Isabel (HSI), Blumenau, SC, Brazil.




Publication History

Received: 27 August 2021

Accepted: 22 November 2021

Article published online:
15 February 2022

© 2022. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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