02 August 2024
: Case report 
Voriconazole-Induced Periostitis: A Mimicker of Skeletal Coccidioidomycosis
Challenging differential diagnosis, Unusual or unexpected effect of treatment, Adverse events of drug therapy, Educational Purpose (only if useful for a systematic review or synthesis)
Priyal J. Shah
1BDEF, Janis E. Blair1BDEF*
DOI: 10.12659/AJCR.944102
Am J Case Rep 2024; 25:e944102
Figure 2. Technetium Tc 99m medronate injection, 22.6 mCi, whole skeleton bone scan, while treated with voriconazole. Patient had severe diffuse pain. Findings include multifocal sites of markedly abnormal uptake in the upper posterior lateral ribs bilaterally, heterogeneous sites of abnormal uptake throughout both arms and scapula, left greater than right, and in the small joints of the hands. The left tibia, left femur, and uptake in the small joints of the feet were also noted to be increased.