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Journal of Clinical Microbiology, May 1999, p. 1532-1535, Vol. 37, No. 5
Department of
Traumatology1 and Institute of
Pathology,
Received 7 August 1998/Returned for modification 22 September
1998/Accepted 29 January 1999
We describe a previously healthy, 22-year-old man who, after a
closed fracture of the femur and subsequent operation, developed chronic osteomyelitis. Within a few days, infected bone fragments, bone, and wound drainage repeatedly yielded three different filamentous fungi: Aspergillus fumigatus, Aspergillus
flavus, and Chalara ellisii. Histologic examination
of the bone revealed septate hyphae. After sequential necrotomies of
the femur and irrigation-suction drainage with added antimycotic
therapy, the infection ceased and the fracture healed. This case is
unique in that it is the only known instance in which a long bone was
affected in an immunocompetent individual, with no evidence of any
systemic infection, by a mixed population of two different
Aspergillus spp. and the rare filamentous fungus C. ellisii. Environmental factors that could potentiate the
infection include blood and edema fluid resulting from the surgical
procedure and the presence of the osteosynthetic plate.
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Femur Osteomyelitis Due to a Mixed Fungal
Infection in a Previously Healthy Man
*
Corresponding author. Mailing address: National
Institute of Chemistry, Hajdrihova 19, 1000 Ljubljana, Slovenia. Phone:
386 61 176-03-33. Fax: 386 61 125-92-44. E-mail:
nina.gunde.cimerman{at}ki.si.
Journal of Clinical Microbiology, May 1999, p. 1532-1535, Vol. 37, No. 5
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
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