sentinel presentation of disseminated blastomyces dermatitidis infection as hip pain in a young...

Sentinel Presentation of Disseminated Blastomyces dermatitidis Infection as Hip Pain in a Young Adult by Joshua C. Hamann, and Kevin Marberry J Bone Joint Surg Am Volume 92(2):469-472 February 1, 2010 ©2010 by The Journal of Bone and Joint Surgery, Inc.

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Sentinel Presentation of Disseminated Blastomyces dermatitidis Infection as Hip Pain in a Young Adult

by Joshua C. Hamann, and Kevin Marberry

J Bone Joint Surg AmVolume 92(2):469-472

February 1, 2010

Page 2: Sentinel Presentation of Disseminated Blastomyces dermatitidis Infection as Hip Pain in a Young Adult by Joshua C. Hamann, and Kevin Marberry J Bone Joint

Anteroposterior radiograph of the right hip, made at the initial clinic presentation, showing an ill-defined lesion in the right ilium.

Joshua C. Hamann, and Kevin Marberry J Bone Joint Surg Am 2010;92:469-472

Page 3: Sentinel Presentation of Disseminated Blastomyces dermatitidis Infection as Hip Pain in a Young Adult by Joshua C. Hamann, and Kevin Marberry J Bone Joint

Computed tomography axial image showing a lesion in the right ilium.

Joshua C. Hamann, and Kevin Marberry J Bone Joint Surg Am 2010;92:469-472

Page 4: Sentinel Presentation of Disseminated Blastomyces dermatitidis Infection as Hip Pain in a Young Adult by Joshua C. Hamann, and Kevin Marberry J Bone Joint

Axial T2-weighted magnetic resonance image showing increased signal intensity in the right ilium and corresponding soft-tissue edema.

Joshua C. Hamann, and Kevin Marberry J Bone Joint Surg Am 2010;92:469-472

Page 5: Sentinel Presentation of Disseminated Blastomyces dermatitidis Infection as Hip Pain in a Young Adult by Joshua C. Hamann, and Kevin Marberry J Bone Joint

Computed tomography scan, made at a follow-up evaluation after antifungal therapy, showing healing of the lesion in the right ilium with a marked cortical response.

Joshua C. Hamann, and Kevin Marberry J Bone Joint Surg Am 2010;92:469-472

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