Blastomycotic Multifocal Arthritis and Osteomyelitis in the Urban Setting

Johnson, Rolley E.; Vora, Sheetal S.

doi:10.3899/jrheum.121115

Cited by 3 publications

(1 citation statement)

References 11 publications

(17 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…ere are only a few isolated reported cases of septic arthritis as the presenting symptom of blastomycosis in children [18,19], but this is typically in the setting of concurrent osteomyelitis due to the proposed mechanism of joint involvement being secondary to direct bony spread from an affected limb [7]. One case series described 7 children with disseminated blastomycosis causing osteomyelitis with extension to the joint [20], but none of these children had isolated arthritis. erefore, our patient's presentation of oligoarthritis without osteomyelitis is very unusual and has not been reported in the literature surrounding blastomycosis in children.…”

Section: Discussionmentioning

confidence: 99%

Disseminated Blastomycosis Presenting as Oligoarthritis, Pneumonia, and Skin Disease in an Immunocompetent Child

Bockrath

2021

Case Reports in Pediatrics

View full text Add to dashboard Cite

Blastomyces species (spp) can cause clinical disease affecting nearly every organ system, including the skeletal system. However, isolated joint involvement without concurrent osteomyelitis is rare, especially in children. We present a pediatric case from a tertiary care center in urban Chicago of disseminated blastomycosis caused by Blastomyces dermatitidis presenting as oligoarthritis (in the absence of osteomyelitis), pneumonia, and skin involvement, with clinical improvement on IV amphotericin and oral azole treatment.

show abstract