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CRYPTIC PRESENTATION OF CRYPTOCOCCAL OSTEOMYELITIS IN AN APPARENTLY IMMUNOCOMPETENT INDIVIDUAL
Hariharan Subramony1, Balagurunathan Raghavan1, Manjunatha Gajanana Hegde1
1Department of Internal Medicine, Apollo Hospitals, Greams Road, Chennai, Tamil Nadu, 600003, India.
European Journal of Case Reports in Internal Medicine
|March 27, 2023
Summary
Cryptococcal osteomyelitis is a rare fungal infection, particularly in immunocompetent individuals. This case highlights a rare instance of hip osteomyelitis in an otherwise healthy adult, emphasizing the need for prompt antifungal treatment.
Area of Science:
- Mycology
- Infectious Diseases
- Orthopedic Surgery
Background:
- Cryptococcosis is an opportunistic fungal infection caused by *Cryptococcus* yeast.
- It primarily affects the lungs and central nervous system, especially in immunocompromised individuals.
- Bone involvement, or osteomyelitis, is exceedingly rare in immunocompetent individuals.
Purpose of the Study:
- To report a rare case of cryptococcal hip osteomyelitis.
- To describe the presentation and management of this unusual infection in an immunocompetent patient.
Main Methods:
- Case report of a 42-year-old immunocompetent male patient.
- Clinical presentation, diagnostic workup, and treatment of cryptococcal hip osteomyelitis were reviewed.
Main Results:
- The patient, a 42-year-old immunocompetent man, presented with cryptococcal hip osteomyelitis.
- This represents a rare occurrence of bone involvement in an otherwise healthy individual.
Conclusions:
- Osteomyelitis caused by *Cryptococcus* is a very rare condition.
- It is particularly uncommon in immunocompetent individuals.
- Prompt intravenous antifungal treatment is recommended for all patients diagnosed with cryptococcal osteomyelitis.
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