Skip Navigation LinksHome > July 2010 - Volume 18 - Issue 4 > Osseous Blastomycosis of the Foot Masquerading as Cellulitis
Infectious Diseases in Clinical Practice:
doi: 10.1097/IPC.0b013e3181c5f536
Case Reports

Osseous Blastomycosis of the Foot Masquerading as Cellulitis

Sivasubramanian, Geetha MD*; Zaman, Rana MD†

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Abstract

We report a case of a 28-year-old immunocompetent man with a left foot swelling and pain of 3 weeks' duration. He was initially treated with antibacterial agents for cellulitis. Lack of clinical improvement with concomitant reticulonodular infiltrates on chest x-ray prompted further work up including magnetic resonance imaging, bone biopsy, and bronchoalveolar lavage. Cultures and histopathologic examinations from lung and bone specimens revealed Blastomyces dermatitidis. He was successfully treated with oral itraconazole for 1 year. Osseous blastomycosis can mimic an acute pyogenic infection. A high index of suspicion should be kept in mind for this infection, especially in patients presenting from endemic areas.

© 2010 Lippincott Williams & Wilkins, Inc.