RT Journal
A1 Hamann, Joshua C.
A1 Marberry, Kevin
T1 Sentinel Presentation of Disseminated Blastomyces dermatitidis Infection as Hip Pain in a Young AdultA Case Report
JF The Journal of Bone & Joint Surgery
JO The Journal of Bone & Joint Surgery
YR 2010
FD February 1
VO 92
IS 2
SP 469
OP 472
DO 10.2106/JBJS.I.00212
UL http://dx.doi.org/10.2106/JBJS.I.00212
AB 
In young, active patients, the common causes of hip pain are multiple and can include muscle strain, contusion, acetabular labral tear, osteochondral injury, sports hernia, snapping hip, proximal femoral stress fracture, and spinal abnormalities1-3. In most patients, an initial trial of nonoperative management is instituted. If pain persists or is of an unusual presentation, a more extensive diagnostic workup may be used. A thorough clinical evaluation can expedite the diagnosis of uncommon conditions of the musculoskeletal system, and the diagnostic evaluation may include magnetic resonance imaging of the pelvis and hip to evaluate the integrity of the periarticular structures. The case of the patient in the present report illustrates an unusual presentation of disseminated Blastomyces dermatitidis infection causing hip pain that was diagnosed with magnetic resonance imaging and was successfully treated through a multidisciplinary approach. The parents of the patient were informed that data concerning the case would be submitted for publication, and they consented.