Department of Orthopaedics, VMMC Safdarjang Hospital, New Delhi, India.
Department of Orthopaedics (Arthroplasty Division) Star Hospitals, Hyderabad, India.
Foot (Edinb). 2021 Jun;47:101781. doi: 10.1016/j.foot.2021.101781. Epub 2021 Jan 22.
Fungal osteomyelitis of calcaneus is rare in immunocompetent adults. A case of fungal osteomyelitis of calcaneus in a 19 year old immunocompetent female without any history of trauma caused by Acremonium sp is presented. The patient was treated with surgical debridement, autogenous iliac crest bone grafting and antifungal chemotherapy for 6 months. At latest follow up after 2 years, patient is asymptomatic and the osteolytic lesion is healed with no signs of recurrence. This case report highlights a rare presentation of chronic painful calcaneal osteomyelitis with an osteolytic lesion.
跟骨真菌性骨髓炎在免疫功能正常的成年人中较为罕见。本文报道了一例由节菱孢霉引起的、无创伤史的 19 岁免疫功能正常女性的跟骨真菌性骨髓炎病例。患者接受了外科清创术、自体髂骨移植和抗真菌化疗 6 个月的治疗。在 2 年的随访中，患者无任何症状，溶骨性病变已愈合，无复发迹象。本病例报告强调了一种罕见的慢性足跟痛性溶骨性骨髓炎表现。
