A Rare Case of Cryptococcal Infection of Talus with Pathological Fracture That Healed with Medical Management.

Abstract: Skeletal involvement occurs in 5% to 10% of reported cases of disseminated cryptococcal infection. We are reporting a very rare presentation of cryptococcal infection of the talus with pathological fracture, which healed with medical management. Our patient had pain and swelling around the...

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Publicado en:Journal of Foot & Ankle Surgery Vol. 50; no. 6; pp. 740 - 744
Autores principales: Balaji, G. Gopisankar, Mathuram, Alice Joan, Arockiaraj, Justin, Varghese, George M.
Formato: case study diagnostic images pictorial Journal Article
Publicado: W B Saunders Nov2011
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2011
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        atl: A Rare Case of Cryptococcal Infection of Talus with Pathological Fracture That Healed with Medical Management.
      aug:
        au:
          Balaji, G. Gopisankar
          Mathuram, Alice Joan
          Arockiaraj, Justin
          Varghese, George M.
        affil: Assistant Professor in Orthopaedics, Department of Orthopaedics Unit 1, Christian Medical College, Vellore, Tamil Nadu, India
      sug:
        subj:
          Talus Pathology
          Mycoses Complications
          Fractures, Spontaneous
          Talus Injuries
          Middle Age
          Male
          Cryptococcus
          Foot Radiography
          Mycoses Drug Therapy
          Fractures, Spontaneous Surgery
          Treatment Outcomes
          Mycoses Microbiology
          Middle Aged: 45-64 years
          Male
      ab: Abstract: Skeletal involvement occurs in 5% to 10% of reported cases of disseminated cryptococcal infection. We are reporting a very rare presentation of cryptococcal infection of the talus with pathological fracture, which healed with medical management. Our patient had pain and swelling around the ankle associated with fever. Radiologically, he had a lytic lesion of the talus with fracture of the talar neck. Biopsy and cultures revealed cryptococcal infection. He was treated with surgical debridement combined with antifungal therapy, and the fracture healed well by 5 months. At the end of the 1-year follow-up, he had painless ankle movement and there was no evidence of recurrence. He was able to walk without support or limp, and he could wear normal footwear.
      pubtype: Academic Journal
      doctype:
        case study
        diagnostic images
        pictorial
        Journal Article
      ougenre: Article
    language: English
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