dc.contributor.author | Wilden, Ana | eng |
dc.contributor.author | Bran, Andres | eng |
dc.date.issued | 2021-01 | eng |
dc.description | | eng |
dc.description.abstract | "CASE: A woman in her 60s presented with complaints of severe multifocal bone pain, including the shoulders, sternum, and hips, which had persisted for several months. Two years earlier, the patient had undergone heart transplant for ischemic cardiomyopathy. She had a history of post-transplant AKI on CKD, hypertension, hyperlipidemia, osteoporosis, hypothyroidism and COPD. She was on maintenance immunosuppression with azathioprine, tacrolimus and prednisone. She was on voriconazole for chronic suppression of Bipolaris sp. mediastinitis diagnosed shortly after transplantation and had remained on the antifungal. The patient reported bone pain and a lump on the left clavicle that was palpable on physical examination. Radiograph of the left clavicle can be seen below (Figure 1). Laboratory values demonstrated an elevated creatinine (2.28mg/dL), BUN (35 mg/dL), TSH (2.77 mcunit/mL), alkaline phosphatase (616 units/L), ALT (62 units/L), and AST (67 units/L). | eng |
dc.description.bibref | Includes bibliographical references | eng |
dc.description.statementofresponsibility | Ana Wilden (1), Andres Bran (2) ; 1. School of Medicine, University of Missouri. 2. Division of Infectious Disease, University of Missouri. | eng |
dc.format.extent | 2 pages : illustrations | eng |
dc.identifier.citation | Am j Hosp Med 2021 Jan;5(1):2021. | |
dc.identifier.uri | https://doi.org/10.24150/ajhm/2021.004 | eng |
dc.identifier.uri | https://hdl.handle.net/10355/85085 | |
dc.language | English | eng |
dc.publisher | University of Missouri, Department of Medicine, Division of Hospital Medicine | eng |
dc.relation.ispartof | American journal of hospital medicine, volume 5, issue 1 (2021 January-March) | eng |
dc.relation.ispartofseries | Images in Hospital Medicine | eng |
dc.rights | OpenAccess. | eng |
dc.rights.license | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License. | |
dc.source | Harvested from the American Journal of Hospital Medicine website (https://medicine.missouri.edu/departments/medicine/divisions/hospital-medicine/american-journal-of-hospital-medicine) in 2021. | eng |
dc.subject | Voriconazole | eng |
dc.subject | Bone pain | eng |
dc.subject | Periostitis | eng |
dc.title | Voriconazole-induced Periostitis | eng |
dc.type | Article | eng |