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Calcaneal Osteomyelitis Caused by Exophiala jeanselmei in an Immunocompetent Child by Shah Alam Khan, Azra S. Hasan, Malini R. Capoor, Manish K. Varshney,

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Presentation on theme: "Calcaneal Osteomyelitis Caused by Exophiala jeanselmei in an Immunocompetent Child by Shah Alam Khan, Azra S. Hasan, Malini R. Capoor, Manish K. Varshney,"— Presentation transcript:

1 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 Am Volume 89(4):859-862 April 1, 2007 ©2007 by The Journal of Bone and Joint Surgery, Inc.

2 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.

3 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.

4 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.

5 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.

6 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.

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