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Fungal Osteomyelitis due to Phaeoacremonium venezuelense: A Case Report
Solangel Rodriguez-Materon1, Samantha Trynz2, Thomas P SanGiovanni3
1Miami Orthopedics and Sports Medicine Institute at Baptist Health South Florida - Orthopaedic Surgeon. Foot and Ankle Research Fellow, Coral Gables, Florida.
Case:
A 56-year-old immunosuppressed man presented with pain and swelling in the medial and anterior right foot with accompanied numbness in the second and third toes 1 month after a puncture wound by a Sylvester palm tree thorn. An intraoperative culture/biopsy returned positive for septic arthritis of the naviculocuneiform joint and fungal osteomyelitis of the navicular, medial, and intermediate cuneiforms due to Phaeoacremonium venezuelense.
Conclusion:
Fungal osteomyelitis is extremely rare. Only 5 cases by Phaeoacremonium venezuelense have been reported previously in the literature. To the best of our knowledge, this is the first case of osteomyelitis by this strain.
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