Coccidiomycosis: ankle septic arthritis with an extended incubation period requiring aggressive multidisciplinary surgical intervention

BMJ Case Rep. 2024 Dec 4;17(12):e262472. doi: 10.1136/bcr-2024-262472.

Abstract

Coccidiomycosis is a regional disease with global importance, with both an expanding endemic area and population, as well as increasing travel. Although unusual, it should be considered in patients with a travel history to endemic areas, even when immunocompetent and outside the usual incubation period. We present a case of isolated ankle septic arthritis which required an aggressive multidisciplinary surgical approach as well as antibiotic therapy.

Keywords: Ankle sprains; Orthopaedic and trauma surgery; Sports and exercise medicine.

Publication types

  • Case Reports

MeSH terms

  • Ankle Joint* / diagnostic imaging
  • Ankle Joint* / microbiology
  • Ankle Joint* / surgery
  • Anti-Bacterial Agents* / therapeutic use
  • Arthritis, Infectious* / diagnosis
  • Arthritis, Infectious* / drug therapy
  • Arthritis, Infectious* / microbiology
  • Arthritis, Infectious* / surgery
  • Coccidioidomycosis* / diagnosis
  • Coccidioidomycosis* / drug therapy
  • Debridement / methods
  • Humans
  • Male
  • Middle Aged

Substances

  • Anti-Bacterial Agents