A Rare Case of Cryptococcal Infection of Talus with Pathological Fracture That Healed with Medical Management

作者：Balaji G Gopisankar^*; Mathuram Alice Joan; Arockiaraj Justin; Varghese George M

来源：Journal of Foot and Ankle Surgery, 2011, 50(6): 740-743.

DOI：10.1053/j.jfas.2011.06.016

• ankle
• azathioprine
• Cryptococcus
• fungal infection
• immunosuppression
• prednisolone
• surgery

Skeletal involvement occurs in 5% to 10% of reported cases of disseminated cryptococcal infection. We are reporting a very rare presentation of cryptococcal infection of the talus with pathological fracture, which healed with medical management. Our patient had pain and swelling around the ankle associated with fever. Radiologically, he had a lytic lesion of the talus with fracture of the talar neck. Biopsy and cultures revealed cryptococcal infection. He was treated with surgical debridement combined with antifungal therapy, and the fracture healed well by 5 months. At the end of the 1-year follow-up, he had painless ankle movement and there was no evidence of recurrence. He was able to walk without support or limp, and he could wear normal footwear.

• 出版日期2011-12