%0 Case Reports
%T Is Blastomycosis Endemic in Upstate New York?: A Case Report and Review of Literature.
%A Murtaza H
%A Arain AR
%A Li H
%A Tobin EH
%A DiCaprio MR
%J JBJS Case Connect
%V 10
%N 2
%D Apr-Jun 2020
%M 32649137
暂无%R 10.2106/JBJS.CC.19.00553
%X We describe a case of biopsy-proven blastomycosis in a patient residing in Upstate New York with osseous and skin lesions and no pulmonary or constitutional symptoms. The patient had a rapid resolution of symptoms after the initiation of antifungal treatment, followed by curettage and cementation of her distal femoral lesion.<BR>Orthopaedic surgeons should be aware of the presence of blastomycosis in nonendemic areas, especially since bone involvement may be the predominant manifestation. Tissue should be submitted for both histologic and microbiologic analysis. Antifungal therapy and surgical management if needed can result in a good outcome.