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J Hand Surg Am. 2018 Mar;43(3):291.e1-291.e6. doi: 10.1016/j.jhsa.2017.07.013. Epub 2017 Aug 26.

Disseminated Cryptococcal Osteomyelitis to the Hand in an Immunosuppressed Lymphoma Patient.

Author information

1
Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, NC.
2
Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, NC. Electronic address: bgraves@wakehealth.edu.

Abstract

Fungal osteomyelitis of the hand is rare with limited evidence-based literature to guide diagnosis and management. We report a case of disseminated cryptococcal osteomyelitis in the middle phalanx from a pulmonary fungal infection in a patient with a history of lymphoplasmacytic lymphoma. Although rare, cryptococcosis should be considered in the differential diagnosis of aggressive lytic lesions with bone pain and associated large soft tissue masses, especially in the immunosuppressed host.

KEYWORDS:

Cryptococcosis; fungal; immunosuppression; osteomyelitis; phalanx

PMID:
28844774
DOI:
10.1016/j.jhsa.2017.07.013
[Indexed for MEDLINE]

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