[Pathological fracture revealing an osseous histoplasmosis. A case report on a 60-year patient].
The authors report a new case of African Histoplasmosis in a 60-year-old patient. It was an humeral localization revealing a pathological fracture which grew into an extension of osteolysis and a cutaneous fistulization likely to be a malignant bone tumor. The case has been diagnosed by surgical biopsy and histological analysis. Its antifungal treatment in progress resulted in the drainage of the out-flow that should permit the bone reconstruction by graft. The authors stress on the need to focus on this affection whenever, in a tropical area, one is faced with any chronic bone fistula that cannot positively be cured in spite of sound medical cares.
Ngatse-Oko
A
A
Service de chirurgie orthopédique et traumatologique, CHU de Brazzaville, BP 32, Congo.
Péko
J F
JF
Ntsiba
H
H
Ngolet
A
A
Kokolo
J
J
Ondzoto
M
M
Carme
B
B
Moyikoua
A
A
D001847:Bone Diseases / Q000150:complications*; D005260:Female; D005598:Fractures, Spontaneous / Q000209:etiology*; D006660:Histoplasmosis / Q000150:complications*; D006801:Humans; D006810:Humeral Fractures / Q000209:etiology*; D008875:Middle Aged