title: Aspergillus osteomyelitis of the proximal humerus: a case report.
abstract: Aspergillus osteomyelitis is an extremely rare manifestation of invasive aspergillosis. Generally, patients in states of significant immune deficiency are very susceptible to invasive aspergillosis. We report a case of Aspergillus osteomyelitis of the proximal humerus in an immunocompetent patient that required aggressive oral antifungal therapy, surgical debridement, and placement of an antifungal-impregnated cement spacer. Subsequently, her shoulder was reconstructed using a reverse total shoulder prosthesis The clinical course, radiographic findings, histology, and management rationale are presented.
authors.affiliation: The Albert Einstein College of Medicine, Bronx, NY, USA.
authors.forename: Gregory L
authors.initials: GL
authors.lastname: Hall
authors.forename: Esperanza
authors.initials: E
authors.lastname: Villanueva-Siles
authors.forename: Ross M
authors.initials: RM
authors.lastname: Borzykowski
authors.forename: Konrad I
authors.initials: KI
authors.lastname: Gruson
authors.forename: Howard D
authors.initials: HD
authors.lastname: Dorfman
authors.forename: David S
authors.initials: DS
authors.lastname: Geller
mesh_terms: D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use; D001228:Aspergillosis / Q000000981:diagnostic imaging* / Q000628:therapy*; D003131:Combined Modality Therapy; D003646:Debridement; D005260:Female; D006801:Humans; D006811:Humerus / Q000000981:diagnostic imaging*; D010019:Osteomyelitis / Q000000981:diagnostic imaging* / Q000628:therapy*; D011859:Radiography; D019651:Plastic Surgery Procedures; D016896:Treatment Outcome
chemical_list: D000935:Antifungal Agents