Jain Deepali, Najjar Mazen, Azher Qazi, Bachuwa Ghassan
Department of Internal Medicine, Hurley Medical Center, Michigan State University School of Medicine, Lansing, Michigan, USA.
BMJ Case Rep. 2013 Apr 25;2013:bcr2013009129. doi: 10.1136/bcr-2013-009129.
Cryptococcus, an opportunistic yeast, known to afflict immune-compromised patients is often overlooked in immune-competent patients. This has led to increasing morbidity and mortality worldwide. We present a case of Cryptococcus causing sternal osteomyelitis in an immune-competent individual. Till date no case of Cryptococcus causing sternal osteomyelitis in an immune-competent patient has been reported in the English literature since 1946-2011. With the rising incidence of Cryptococcus infection it should be included among the list of infections causing osteomyelitis. Early detection and prompt treatment can decrease both morbidity and mortality.
新型隐球菌是一种机会性酵母,已知会感染免疫功能低下的患者,但在免疫功能正常的患者中常常被忽视。这已导致全球发病率和死亡率不断上升。我们报告一例新型隐球菌在免疫功能正常个体中引起胸骨骨髓炎的病例。自1946年至2011年以来,英文文献中尚未报道过新型隐球菌在免疫功能正常的患者中引起胸骨骨髓炎的病例。随着新型隐球菌感染发病率的上升,它应被列入引起骨髓炎的感染名单之中。早期检测和及时治疗可降低发病率和死亡率。