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Aspergillosis of the bone
T M Dabkana1, Umaru H Pindiga, Ahmed A Mayun
1Department of Orthopaedics and Trauma Surgery, University of Maiduguri, Maiduguri, Borno State, Nigeria.
Abstract:
Aspergillosis of the long bones has not been reported. Those of the bones of the paranasal sinuses and ear canal have been reported but rare. A young woman reported to us with history of discharging sinuses around the right knee and recent fracture of the right femur. Despite all efforts, she ended up losing the whole limb from the hip. When a patient with Aspergillosis of the long bones presents late, amputation may be the best option. Early diagnosis will prevent this.
Insights
Aspergillosis rarely affects long bones. This case highlights that late diagnosis in such cases may necessitate limb amputation, emphasizing the need for early detection.
Area of Science:
- Medical Mycology
- Orthopedic Surgery
Background:
- Aspergillosis typically affects paranasal sinuses and ear canals, with long bone involvement being exceptionally rare.
- Literature review indicates no prior documented cases of Aspergillosis specifically affecting the long bones.
Observation:
- A young woman presented with chronic discharging sinuses around her right knee and a recent right femur fracture.
- Despite extensive medical interventions, the patient ultimately required hip disarticulation (amputation).
Findings:
- The patient's condition was diagnosed as Aspergillosis of the long bones.
- Late presentation of this rare bone infection led to severe complications and the necessity of amputation.
Implications:
- This case underscores the critical importance of early diagnosis for Aspergillosis of the long bones.
- Prompt identification and treatment are crucial to prevent severe outcomes such as limb loss.
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