title: Chronic coccidioidomycosis infection of the knee: a case report.
abstract: Coccidioidomycosis is a rare fungal infection caused by C immitis in endemic areas of the southwestern United States. Extrapulmonary hematogenous dissemination is a feared complication of the primary pulmonary disease. The musculoskeletal system can be involved, and disseminated musculoskeletal infections can be extremely difficult to eradicate. Surgical treatment of chronic bone and joint infections includes débridement and eventual arthrodesis for end-stage secondary osteoarthritis.
authors.affiliation: Department of Orthopaedic Surgery, University of Calgary, Calgary, Alberta, Canada.
authors.forename: Jason
authors.initials: J
authors.lastname: Werle
authors.forename: Stuart
authors.initials: S
authors.lastname: Goodman
mesh_terms: D000935:Antifungal Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D002908:Chronic Disease; D003047:Coccidioidomycosis / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D007717:Knee; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods; D012008:Recurrence; D012086:Reoperation
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole