CTICasesDisseminated Blastomycosis presenting as knee synovitis and osteomyelitis
Cite this case
[...]. Disseminated Blastomycosis presenting as knee synovitis and osteomyelitis. CTICases. Published July 26, 2019. https://cticases.com/c/43n98
Imaging findings
Knee MRI shows complex joint effusion, synovitis, and bone erosion with adjacent bone marrow edema. Chest CT shows asymptomatic, scattered bilateral pulmonary nodules (2-3 mm).
Key takeaways
Disseminated Blastomycosis can present as a destructive skeletal lesion or joint mass that mimics sarcoma. Pulmonary involvement may be asymptomatic and manifest as subtle, small nodules, which should raise suspicion in endemic areas.
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