Primary Aspergillus osteomyelitis of the sternum.
We report 2 cases of primary sternal osteomyelitis caused by Aspergillus; previously reported cases have been complications of sternotomy. Both patients were healthy young men with recent intravenous drug abuse. No other focus or predisposing factors were found. Both were treated with partial sternectomy and chondrectomy; 1 received long-term amphotericin B therapy. Both are doing well 2 1/2 years after operation. Drug usage, acquired immunodeficiency syndrome, and medical immunosuppression may lead to other cases.
Walker
W A
WA
Department of Surgery, University of Tennessee College of Medicine, Memphis 38163.
Pate
J W
JW
D000328:Adult; D001228:Aspergillosis / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D011859:Radiography; D013249:Sternum; D015819:Substance Abuse, Intravenous / Q000150:complications