2024
DOI: 10.1136/bcr-2024-261809
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Coccidiomycosis septic arthritis presenting as ankle monoarthritis in a patient with presumed psoriatic arthritis

Stephanie Tancer,
Adam Ressler,
Marisa H Miceli
et al.

Abstract: A man in his 50s with a history of psoriasis was evaluated for acute on chronic left ankle pain. His symptoms were attributed to psoriatic arthritis, and he tried several immunosuppressive regimens without improvement. Further diagnostic workup confirmedCoccidioides immitis/posadasiiseptic monarthritis thought secondary to a known remote history of Valley fever while residing in Arizona and subsequent reactivation in the setting of immunosuppression. The patient ultimately required prolonged anti-fungal therap… Show more

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