The Journal of Bone and Joint Surgery (American). 2010;92:469-472.
doi:10.2106/JBJS.I.00212
© 2010 The Journal of Bone and Joint Surgery, Inc.
Sentinel Presentation of Disseminated Blastomyces dermatitidis Infection as Hip Pain in a Young AdultA Case Report
Joshua C. Hamann, MD1 and
Kevin Marberry, MD1
1 Missouri Sports Medicine, Department of Orthopaedic Surgery, University of Missouri, 213 McHaney Hall, One Hospital Drive, Columbia, MO 65212. E-mail address for K. Marberry: marberryk@health.missouri.edu
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Introduction
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In young, active patients, the common causes of hip pain are multiple and can include muscle strain, contusion, acetabular labral tear, osteochondral injury, sports hernia, snapping hip, proximal femoral stress fracture, and spinal abnormalities1-3. In most patients, an initial trial of nonoperative management is instituted. If pain persists or is of an unusual presentation, a more extensive diagnostic workup may be used. A thorough clinical evaluation can expedite the diagnosis of uncommon conditions of the musculoskeletal system, and the diagnostic evaluation may include magnetic resonance imaging of the pelvis and hip to evaluate the integrity of the periarticular structures. The case of the patient in the present report illustrates an unusual presentation of disseminated Blastomyces dermatitidis infection causing hip pain that was diagnosed with magnetic resonance imaging and was successfully treated through a multidisciplinary approach. The parents of the patient were informed that data concerning the case would be . . . [Full Text of this Article]

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