Pitche P, Dossim A, Mijiyawa M, Napo-Koura G, Tchangaï-Walla K
Service de Chirurgie Orthopédique et Traumatologie du CHU-Tokoin, Lomé-Togo.
Rev Chir Orthop Reparatrice Appar Mot. 1995;81(8):745-48.
The authors report one case of disseminated African's histoplasmosis with numerous bones in Togolese immunocompetent child. The left tibia and fibula, the collarbones and the acromion were the bones mostly affected. The chronic fistulate lesion of the left leg associated with skin lesion allowed to evoke the diagnosis, this being confirmed by histological examination. The authors review the different diagnosis which will be discussed considering the radiographic appearance of african's histoplasmosis.
作者报告了一例多哥免疫功能正常儿童播散性非洲组织胞浆菌病累及多处骨骼的病例。左胫骨和腓骨、锁骨及肩峰是最常受累的骨骼。左腿慢性瘘管病变伴皮肤损害提示了诊断,组织学检查确诊。作者回顾了不同的诊断方法,并将结合非洲组织胞浆菌病的影像学表现进行讨论。