Bifocal Cryptococcal Osteomyelitis in an Immunocompetent Mal
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Isolated bony involvement with Cryptococcus neoformans is rare. The most common clinical presentation of this organism is meningitis, but involvement of bone has been reported in 10% of cases as part of a systemic infection. We describe a case of osteomyelitis due to C. neoformans involving both scapula and tibia in an immune?competent and previously healthy patient. The clinical and radiological features of osseous cryptococcosis are non?specific and are similar to those of tuberculosis (TB).

Case Report
An 18?year?old male presented to us with the complaint of pain and swelling around the right scapula since 20 days, which was gradually increasing in size and developed fever since 2 days. On history, patient was on AKT for pulmonary TB since 6 months which was diagnosed based on clinical history of a cough and chest X?ray finding and blood report showing raised erythrocyte sedimentation rate (ESR); sputum examination was normal. Considering it as possible tubercular swelling AKT was continued but after 3 days patient also developed left ankle swelling and pain difficulty in walking.

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