Abstract: Fusarium is a ubiquitous environmental mold soil. In immunocompetent hosts, keratitis and onychomycosis are the most commonly reported Fusarium infections, and osteomyelitis is rare. Eight detailed cases of Fusarium osteomyelitis have been reported in the English literature to date, all involving either the vertebrae or lower extremities. Inoculation of Fusarium into bone has occurred following trauma or via hematogenous dissemination.
To the best of our knowledge, there have been no reported cases of Fusarium osteomyelitis involving the hand. We report a case of a Fusarium metacarpal osteomyelitis in an immunocompetent female patient, discuss the key management issues, and review the Fusarium osteomyelitis cases in the literature.