Hébert-Seropian Sarah, Pelet Stéphane
Department of Orthopedic Surgery, Hôpital de l'Enfant-Jésus, CHU de Québec and Université Laval, Québec, QC, Canada.
JBJS Case Connect. 2020 Jan-Mar;10(1):e0343. doi: 10.2106/JBJS.CC.19.00343.
A 52-year-old man known for a recent cardiac transplantation presented with 6 weeks of incapacitating left shoulder pain with normal x-rays and CT scans. MRI revealed bone edema of the coracoid and glenoid neck with a supraspinatus abscess. Biopsy of the coracoid demonstrated Aspergillus osteomyelitis of the scapula.
Aspergillus osteomyelitis is a rare manifestation of invasive aspergillosis and mostly manifests as spondylodiscitis. In this report, we describe a case of Aspergillus osteomyelitis of the scapula treated with combined antifungal therapy and surgery.
一名52岁男性，近期接受了心脏移植手术，因左侧肩部疼痛6周前来就诊，X线和CT扫描结果正常。MRI显示喙突和关节盂颈部骨水肿，伴有冈上肌脓肿。喙突活检显示肩胛骨曲霉菌骨髓炎。
曲霉菌骨髓炎是侵袭性曲霉菌病的一种罕见表现，主要表现为脊椎椎间盘炎。在本报告中，我们描述了一例采用抗真菌联合手术治疗的肩胛骨曲霉菌骨髓炎病例。
