Abstract
Aspergillus osteomyelitis is a rare disease and involving metatarsal is the rarest one. Here we present a case of middle aged diabetic male person complaining of pain and swelling of right foot since one year. On X-ray and MRI studies, a lytic lesion was observed at the base of 4 th metatarsal of right foot. Clinical diagnosis of chronic osteomyelitis was made. He underwent surgical curettage of the lesion and the necrotic material that obtained was sent for histopathological examination. H-E stain along with special stain PAS and GMS showed granulomatous inflammation with fungal colonies of Aspergillus. The patient was put on antifungal drugs and has been regularly followed-up. This study concluded that a clinical suspicion of aspergillus ostomyelitis should always be made on the symptoms of pain and swelling of lower extremities if associated with diabetes or any immunosupressed condition. Management of aspergillus ostomyelitis include both surgical modalities and antifungal drugs with regular follow up. DOI: 10.21276/APALM.1513
Highlights
Aspergillus spp. are ubiquitous in the environment, including the air, soil, and decomposing materials.[1]
Aspergillus osteomyelitis was reported in vertebrae, ribs, cranium and tibia.[4]
Immune status of the patient has always been a crucial factor in the etiopathogenesis of fungal osteomyelitis[5]
Summary
Aspergillus spp. are ubiquitous in the environment, including the air, soil, and decomposing materials.[1]. Aspergillus osteomyelitis of the metatarsal is a very rare entity. Aspergillus osteomyelitis was reported in vertebrae, ribs, cranium and tibia.[4] A case of chronic osteomyelitis if not properly evaluated can lead patients to undergo unnecessary antibacterial or anti-tubercular drugs treatment. This may further complicates the situation with comorbid results.
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