Background: Aspergillus spondylodiscitis is increasingly described in immune-compromised patients. Its diagnosis is challenging and its delay results in high mortality and morbidity in view of its relative infrequency and the non-specific clinical signs and symptoms. Case report:We report a case of thoracic spondylodiscitis caused by Aspergillus fumigatus in a patient of renal transplantation and with proven pulmonary tuberculosis. Conclusion:We reiterate that transplantist and the treating physician should have high grade of suspicion for the invasive Aspergillosis even when the patient complains of vague non-specific back pain, and aggresively aim to rule out fungal infection. Early surgical debridement and antifungal therapy to be executedto prevent rapid progression of invasive aspergillosis and neurological damage.
Introduction: Osteochondroma is the most common benign bone tumor representing about 15 % of all bone tumors and 45.3 % of the benign bone tumors. They commonly arise from the metaphysis of a long bone with most common sites being distal femur, proximal tibia or proximal humerus. The occurrence of osteochondroma in flat bones particularly the scapula is uncommon. Case Presentation: In view of its rarity, we report a case of solitary osteochondroma of the scapula in an 18 year old male arising from the postero medial aspect of the body of scapula which was managed by excisional biopsy. He presented with a painless swelling of 2 years duration over the left scapula. Histopathology confirmed the diagnosis with no evidence of malignant transformation. Discussion: Osteochondromas are primary bone tumors rarely found arising from the scapula. Although the exact etiology of the growth is unclear, it is due to a portion of physis herniating through the growth plate. Complications like malignant transformation, winging of scapula and restriction of shoulder movements can occur. Thickness of cartilagenous cap is an important predictor of malignant change. Conclusion: Solitary osteochondroma of the scapula is a rare entity .Timely diagnosis and complete excision of the tumor should be done in order to avoid recurrence and prevent complications. Keywords: Osteochondroma, Solitary, Scapula.
Introduction: Elbow joint is the second most common joint to dislocate after shoulder. 20 percent of elbow dislocations are associated with fractures. Elbow dislocations are commonly associated with coronoid process, radial head and olecranon fractures. Dislocations of the elbow commonly accompany proximal ulna or radial fracture. Elbow dislocation with a distal radius fracture is rare. In the literature, there are very few case reports highlighting such an injury.We report three cases of ipsilateral closed dislocation at the elbow associated with a closed distal radius fracture presented to us over a period of three years. Elbow dislocation was managed by closed reduction in two cases, and k wiring was required in one case. For distal radius open reduction and internal fixation by a buttress plate was done for two cases, and one was managed conservatively. At 6 months of follow up patients had full range of movement of the elbow joint and complete union of the distal radius fracture.Therefore, clinical and radiological assessment of one joint above and below should be done in every case so that these injuries, although rare, should not be missed. In a case of elbow dislocation, a possibility of a distal radius fracture should be kept in mind. A very high degree of suspicion is required for such cases.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.