跟腱切除术后播散性芽生菌病致成人免疫功能正常患者全距骨假体重建：1 例报告。

Reconstruction Following Talectomy Due to Disseminated Blastomycosis in Immunocompetent Adult Utilizing Total Talus Prosthesis: A Case Report.

机构信息

Resident Physician, Katherine Shaw Bethea Hospital, Dixon, IL.

出版信息

J Foot Ankle Surg. 2021 Sep-Oct;60(5):1063-1067. doi: 10.1053/j.jfas.2021.03.015. Epub 2021 Mar 26.

DOI:10.1053/j.jfas.2021.03.015

Abstract

Blastomycosis is a rare condition affecting specific endemic areas in North America. Blastomycosis is characterized primarily as a pulmonary disease but can disseminate to affect other organ systems. Osteomyelitis due to disseminated blastomycosis is a rare condition with limited functional reconstructive options in a young adult. We present a rare case with prolonged antifungal therapy and staged reconstruction with a total talus prosthesis.

摘要

播散性荚膜组织胞浆菌病是一种罕见疾病，主要影响北美的特定流行地区。播散性荚膜组织胞浆菌病的特征主要为肺部疾病，但也可能播散至其他器官系统。由播散性荚膜组织胞浆菌病引起的骨髓炎是一种罕见疾病，在年轻成人中，可供选择的功能性重建方案有限。我们报告了一例罕见病例，该患者接受了延长的抗真菌治疗和分期重建，采用了全距骨假体。