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Infectious Diseases in Clinical Practice:
doi: 10.1097/IPC.0b013e318210fdd6
Case Reports

A Case of Coccidioides Synovitis of the Knee Presents Clinically as Pigmented Villonodular Synovitis

Stein, Mathew I. MD*; Palumbo, Brian T. MD*; Bui, Marilyn M. MD, PhD†; Sandin, Ramon L. MD, MS†; Greene, John MD‡; Letson, Gordon Douglas MD§

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Abstract

Few cases of primary coccidioides synovitis of the knee have been reported in the literature, almost all of which have been before the widespread use of magnetic resonance imaging. We describe the case of a man presenting with findings classically associated with pigmented villonodular synovitis who was subsequently diagnosed with primary coccidioidal synovitis of the knee. This case outlines the clinical, radiographic, and pathological characteristics of coccidioidal synovitis that has yet to be outlined in the literature.

© 2011 Lippincott Williams & Wilkins, Inc.

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