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Blastomycosis of fronto-ethmoid complex.

B K Devgan, M Devgan, C W Gross

    Southern Medical Journal
    |February 1, 1978
    PubMed
    Summary

    Blastomycosis is a rare fungal infection. This case report details a unique instance of blastomycosis causing frontal bone osteomyelitis in a child without frontal sinuses, a combination previously unreported.

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    Area of Science:

    • Mycology
    • Pediatric Infectious Diseases
    • Skeletal Infections

    Background:

    • Blastomycosis is an uncommon fungal infection, particularly in pediatric populations.
    • Osteomyelitis, especially of the frontal bone, is rare in contemporary medicine due to antibiotic availability.
    • Frontal bone osteomyelitis historically stemmed from pyogenic bacterial infections.

    Observation:

    • A pediatric case of frontal bone osteomyelitis was identified.
    • The infection was caused by the fungus Blastomyces.
    • The affected child lacked frontal sinuses, an unusual anatomical feature.

    Findings:

    • This report describes a rare pediatric case of blastomycosis presenting as frontal bone osteomyelitis.
    • The occurrence in a patient without frontal sinuses is a novel observation.
    • This represents a unique confluence of infrequent conditions: pediatric blastomycosis, frontal osteomyelitis, and absence of frontal sinuses.

    Implications:

    • Highlights the importance of considering fungal etiologies, such as blastomycosis, in pediatric osteomyelitis, even in atypical presentations.
    • Suggests that anatomical variations, like the absence of frontal sinuses, may influence the presentation and diagnosis of infections.
    • Underscores the need for comprehensive diagnostic approaches in rare pediatric infections to ensure timely and appropriate treatment.

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