{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:40:40Z","timestamp":1787755240622,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Case:<\/jats:title>\n \n A 9-year-old boy presented with a painful, swollen knee. He had a wound on the knee 2 months ago after a fall in contaminated water. At another hospital, this was treated with debridement twice, and the patient received several antibiotics. Imaging showed septic arthritis and epiphyseal osteomyelitis involving the proximal medial tibia. Surgical debridement and joint washout were performed. Fungal cultures grew\n Scedosporium boydii<\/jats:italic>\n . Antifungal treatment with voriconazole was given. At a 5-year follow-up, we noticed favorable outcomes without any complications.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Fungal osteomyelitis because of direct inoculation should be considered a rare differential diagnosis while treating epiphyseal osteomyelitis.<\/jats:p>\n <\/jats:sec>","DOI":"10.2106\/jbjs.cc.23.00015","type":"journal-article","created":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T16:00:11Z","timestamp":1692288011000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Fungal Osteomyelitis of the Proximal Tibial Epiphysis and Septic Arthritis Secondary to an Open Wound"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0925-6427","authenticated-orcid":false,"given":"Ashish S.","family":"Ranade","sequence":"first","affiliation":[{"name":"Blooming Buds Centre for Pediatric Orthopaedics, Deenanath Mangeshkar Hospital, Pune, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3682-7791","authenticated-orcid":false,"given":"Shreyans","family":"Gandhi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Deenanath Mangeshkar Hospital, Pune, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,7]]},"reference":[{"issue":"7","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1097\/BPO.0000000000001551","article-title":"Primary epiphyseal osteomyelitis (PEO) in 18 children: a rare entity with atypical features","volume":"40","author":"Shah","year":"2020","journal-title":"J Pediatr Orthop."},{"issue":"17","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"e145","DOI":"10.2106\/JBJS.M.01186","article-title":"Primary epiphyseal osteomyelitis caused by mycobacterium species in otherwise healthy 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Surg."},{"issue":"50","key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"e2078","DOI":"10.1097\/MD.0000000000002078","article-title":"Osteoarticular infections caused by non-Aspergillus filamentous fungi in adult and pediatric patients: a systematic review","volume":"94","author":"Taj-Aldeen","year":"2015","journal-title":"Medicine (Baltimore)."},{"issue":"2","key":"bib11-20240805","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1128\/JCM.01122-07","article-title":"Molecular and phenotypic data supporting distinct species statuses for Scedosporium apiospermum and Pseudallescheria boydii and the proposed new species Scedosporium dehoogii","volume":"46","author":"Gilgado","year":"2008","journal-title":"J Clin Microbiol."},{"issue":"4","key":"bib12-20240805","doi-asserted-by":"crossref","first-page":"138","DOI":"10.3390\/jof4040138","article-title":"From the clinical mycology laboratory: new species and changes in fungal taxonomy and nomenclature","volume":"4","author":"Wiederhold","year":"2018","journal-title":"J Fungi (Basel)."},{"key":"bib13-20240805","doi-asserted-by":"crossref","first-page":"1568","DOI":"10.3389\/fmicb.2017.01568","article-title":"Biofilm formation by Pseudallescheria\/Scedosporium species: a comparative study","volume":"8","author":"Rollin-Pinheiro","year":"2017","journal-title":"Front Microbiol."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.23.00015","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:39:56Z","timestamp":1787751596000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.23.00015"}},"subtitle":["A Case 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