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An unusual case of fungal rib osteomyelitis with sequestrum extending into the segmental bronchus in an immunocompetent host

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Case Report

Author Details : Neha Bagri*, Arthi Yadav, Atha Ulla, Santosh Sadafule

Volume : 10, Issue : 2, Year : 2024

Article Page : 94-98

https://doi.org/10.18231/j.ijor.2024.018

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Abstract

Osteomyelitis of rib is rare and mostly occurs in children. In our country, an important cause of rib osteomyelitis is tubercular infection from adjacent lung, lymph nodes or from vertebra. Fungus is a rare cause of osteomyelitis, with organism responsible being, Candida, Aspergillus etc. It is usually associated with immunosuppressive states. We hereby report a case of 36-year-old male who presented with complaints of cough and expectoration of thick mucoid sputum for 1 year, diagnosed as fungal pneumonia 6 months back, with patient not improving after antifungal therapy. On follow up imaging, this patient showed an unusual presentation of rib osteomyelitis with sequestrum extending intrabronchial into inferior segmental bronchus.
 

Keywords: Osteomyelitis, Rib, Fungal, Intrabronchial sequestrum

How to cite : Bagri N, Yadav A, Ulla A, Sadafule S, An unusual case of fungal rib osteomyelitis with sequestrum extending into the segmental bronchus in an immunocompetent host. IP Int J Orthop Rheumatol 2024;10(2):94-98

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