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Claudio Cartoni, MD,* Alberta Capua, MD,t Costantino Damico, MD,* and Giuseppe Potente, MDt Aspergillosis is an emerging opportunistic infection observed in immunocompromised patients. Besides the usual ways of presentation such as the pulmonary, gastrointestinal, cerebral, and disseminate forms, bone and joint Aspergillus infections have been infrequently reported.' This paper describes the first case of a child treated for leukemia with rib Aspergillus osteomyelitis detected in its early stages by ultrasonography and diagnosed by needle aspiration puncture. *Hematology, Department of Human Biopathology, and tInstitute of Radiology, University La Sapienza of Rome, Roma, Italy. For reprints contact Claudio Cartoni, MD, Cattedra di Ematologia, via Benevento 6, 00161 Roma, Italy. Radiographic and computed tomography (CT) findings of the affected rib are also described. CASE REPORT A 13-year-old boy was referred in December 1988 to our institution with hematologic relapse of acute non-lymphocytic leukemia. The patient had been previously treated elsewhere, and during the first course of chemotherapy he developed a pulmonary infection characterized by bilateral nodular infiltrates as seen in a standard chest radiograph. Some of these infiltrates were cavitated and were interpreted as localizations of fungal infection (mycetomas). Therefore, anti- FIGURE 1. Oblique sonogram of the anterior part of the
Journal of Clinical Ultrasound – Wiley
Published: Mar 1, 1992
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