Infection

, Volume 31, Issue 2, pp 121–124 | Cite as

Femoral Osteomyelitis Due to Aspergillus nidulans in a Patient with Chronic Granulomatous Disease

  • J. Dotis
  • P. Panagopoulou
  • J. Filioti
  • R. Winn
  • C. Toptsis
  • C. Panteliadis
  • E. Roilides
Case Report

Abstract.

13 cases of osteomyelitis caused by Aspergillus nidulans have been previously reported in patients with chronic granulomatous disease (CGD). All of them have been associated with simultaneous pulmonary infection and have had an extremely poor outcome. We report an unusual case of femoral osteomyelitis due to A. nidulans in a 16-year-old male with CGD, without pulmonary involvement. Treatment with liposomal amphotericin B and granulocyte colonystimulating factor as well as extensive surgical debridement followed by prolonged treatment with itraconazole resulted in an excellent clinical response.

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Copyright information

© Urban & Vogel Medien und Medizin Verlagsgesellschaft 2003

Authors and Affiliations

  • J. Dotis
    • 1
  • P. Panagopoulou
    • 1
  • J. Filioti
    • 1
  • R. Winn
    • 1
  • C. Toptsis
    • 1
  • C. Panteliadis
    • 1
  • E. Roilides
    • 1
  1. 1.Third Dept. of Pediatrics, Aristotle University of Thessaloniki and Dept. of Orthopedics, Hippokration Hospital, Konstantinoupoleos 49, GR-54642,Thessaloniki, Greece. roilides@med.auth.grGR

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