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Perils of the Palm Tree: Fusarium Metacarpal OsteomyelitisCase Report and Review of the Literature

Akhter, Kauser MD

Infectious Diseases in Clinical Practice: January 2013 - Volume 21 - Issue 1 - p 12–16
doi: 10.1097/IPC.0b013e31826baabf
Review Articles

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.

From the Orlando Health Infectious Disease Faculty Practice, Orlando, FL.

Correspondence to: Kauser Akhter, MD, Orlando Health Infectious Disease Faculty Practice, 77 W Underwood St, 4th Floor, Suite B, MP 79, Orlando, FL 32806. E-mail:

The author has no funding or conflicts of interest to disclose.

© 2013 Lippincott Williams & Wilkins, Inc.