Calcaneal Osteomyelitis Caused by Exophiala jeanselmei in an Immunocompetent Child

by Shah Alam Khan, Azra S. Hasan, Malini R. Capoor, Manish K. Varshney, and Vivek Trikha

J Bone Joint Surg AmVolume 89(4):859-862

April 1, 2007

©2007 by The Journal of Bone and Joint Surgery, Inc.

Clinical photograph showing multiple sinuses and granulation tissue involving the left heel.

Shah Alam Khan et al. J Bone Joint Surg Am 2007;89:859-862

©2007 by The Journal of Bone and Joint Surgery, Inc.

Radiograph of the left heel, showing the honeycomb appearance of the extensive loculated lytic areas of destruction within the body of the calcaneus.

Shah Alam Khan et al. J Bone Joint Surg Am 2007;89:859-862

©2007 by The Journal of Bone and Joint Surgery, Inc.

T2-weighted magnetic resonance imaging scan of the left heel, showing multiple hyperintense foci within the calcaneus.

Shah Alam Khan et al. J Bone Joint Surg Am 2007;89:859-862

©2007 by The Journal of Bone and Joint Surgery, Inc.

Photomicrograph showing branched, septate hyphae, bearing tapering phialides, with spores at the tapered tips (lactophenol cotton blue [LPCB] wet mount preparation, ×400; inset: ×1000).

Shah Alam Khan et al. J Bone Joint Surg Am 2007;89:859-862

©2007 by The Journal of Bone and Joint Surgery, Inc.

Radiograph of the left heel ten months postoperatively, showing sclerosis and healing of the calcaneal lesion.

Shah Alam Khan et al. J Bone Joint Surg Am 2007;89:859-862

©2007 by The Journal of Bone and Joint Surgery, Inc.