title: Blastomycotic osteomyelitis of the pelvis: a case report.
abstract: Blastomycosis dermatitis is an unusual fungal infection that can become a diagnostic dilemma if a high index of suspicion is not maintained in patients who present with a chronic granulomatous infection of bone and soft tissue. We present a patient with a long history of pain, systemic manifestations of chronic infection, a draining sinus, and lytic changes on plain films to illustrate the difficulty in establishing the diagnosis. Appropriate staging studies and a bone biopsy led to the correct diagnosis in the patient.
authors.forename: R E
authors.initials: RE
authors.lastname: Blais
authors.forename: F
authors.initials: F
authors.lastname: Cesani
authors.forename: S
authors.initials: S
authors.lastname: Ali
authors.forename: J H
authors.initials: JH
authors.lastname: Calhoun
authors.forename: J
authors.initials: J
authors.lastname: Mader
mesh_terms: D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D001759:Blastomycosis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D003646:Debridement; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D008297:Male; D009336:Necrosis; D010019:Osteomyelitis / Q000175:diagnosis / Q000382:microbiology* / Q000473:pathology / Q000628:therapy; D010384:Pelvic Bones
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole