Wascher D C, Hartman G P, Salka C, Mertz G J
Department of Orthopaedics, University of New Mexico, Albuquerque, USA.
Arthroscopy. 1998 Jan-Feb;14(1):99-102. doi: 10.1016/s0749-8063(98)70130-6.
Coccidiomycosis is a fungal infection that primarily causes pulmonary disease. Extrapulmonary dissemination can occur to the musculoskeletal system with the knee joint most frequently involved. This case report describes a patient with coccidiomycosis whose initial presentation was of a popliteal cyst. The need for aggressive surgical and antibiotic treatment to eradicate this infection is discussed. Coccidiomycosis should be considered in a differential diagnosis of patients with popliteal cysts without other obvious etiologies.
球孢子菌病是一种主要引起肺部疾病的真菌感染。肺外播散可发生于肌肉骨骼系统，其中膝关节最常受累。本病例报告描述了一名球孢子菌病患者，其最初表现为腘窝囊肿。讨论了积极的手术和抗生素治疗以根除这种感染的必要性。对于没有其他明显病因的腘窝囊肿患者，鉴别诊断时应考虑球孢子菌病。
