Bifocal Cryptococcal Osteomyelitis in an Immunocompetent Male

Abstract

Introduction: Cryptococcus neoformans commonly affects lungs and central nervous system that to in immunocompromised individual. Bony involvement is extremely rare and most common site is vertebrae and usual presentation is monofocal.

Case report: We present 18-year-old male with bifocal osteomyelitis of scapula and tibia in immunocompetent male.

Conclusion: Cryptococcal osteomyelitis should be kept as a differential diagnosis in a patient as a primary diagnosis to avoid diagnostic delay and morbidity associated with it.

Keywords: Cryptococcal infection; bifocal site; osteomyelitis.

Figure 1

Sagittal T1 image magnetic resonance imaging of right lower end tibia showing intensity (hypointense) changes of the lower end tibia and sequestrum at the metaphyseal region.

Figure 2

Sagittal stir image of right lower end tibia showing hyperintensity changes suggestive of inflammation of metaphysis.

Figure 3

Coronal T2 image of left scapula showing hyperintense collection around scapula suggestive of abscess.