BLASTOMYCOTIC OSTEOMYELITIS OF THE PELVIS - A CASE-REPORT

Blastomycosis dermatitis is an unusual fungal infection that can becom e a diagnostic dilemma if a high index of suspicion is not maintained in patients who present with a chronic granulomatous infection of bone and soft tissue. We present a patient with a long history of pain, sy stemic manifestations of chronic infection, a draining sinus, and lyti c changes on plain films to illustrate the difficulty in establishing the diagnosis. Appropriate staging studies and a bone biopsy led to th e correct diagnosis in the patient.