Onwuasoigwe O, Gugnani H C
Orthopedic Unit, Department of Surgery, University of Nigeria Teaching Hospital, Enugu, Nigeria.
Mycoses. 1998 Mar-Apr;41(3-4):105-7. doi: 10.1111/j.1439-0507.1998.tb00309.x.
Bone lesions in African histoplasmosis caused by Histoplasma capsulatum var, duboisii, without other signs of the infection, are often misdiagnosed as cancer. A case of isolated osteomyelitis due to this fungus in a 30-year-old woman is described. Diagnostic and therapeutic problems of isolated bone lesions in African histoplasmosis are discussed. A high diagnostic index of African histoplasmosis is advocated in isolated bone lesions in the endemic region of this disease.