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Tibial Osteomyelitis Due to Fonsecaea pedrosoi in an Immunocompetent Patient: Case Report
The Journal of Foot and Ankle Surgery, 07/29/09

Karuppal R et al. – The authors present a case of F. pedrosoi osteomyelitis in an immunocompetent patient. A high level of suspicion and routine fungal cultures are required to identify these cases. Tissue culture and pathologic examination are necessary for definitive diagnosis and for distinguishing infection from colonization. Therapy includes antifungal drugs and aggressive surgical debridement, and, even when these modalities are readily implemented, the outcome may not be optimal because of the angioinvasive character of the organism.

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Total Talar Extrusion: A Case Report