Abstract
Articular infection with Blastomyces dermatitidis frequently is difficult to diagnose as it resembles bacterial arthritis in several ways. This report of an elderly man who had initially monoarticular and eventually polyarticular arthritis illustrates the clinical and laboratory findings that should suggest blastomycosis. Treatment with amphotericin B and ketoconazole in sequence led to complete resolution of the infection.
MeSH terms
-
Aged
-
Arthritis, Infectious / diagnostic imaging
-
Arthritis, Infectious / drug therapy
-
Arthritis, Infectious / etiology*
-
Blastomycosis* / drug therapy
-
Bronchoalveolar Lavage Fluid / cytology
-
Diagnosis, Differential
-
Finger Joint / microbiology*
-
Humans
-
Ketoconazole / therapeutic use
-
Knee Joint / microbiology*
-
Lung Diseases, Fungal / diagnostic imaging
-
Lung Diseases, Fungal / drug therapy
-
Lung Diseases, Fungal / etiology
-
Male
-
Metacarpophalangeal Joint / diagnostic imaging
-
Metacarpophalangeal Joint / microbiology*
-
Radiography