{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:25:55Z","timestamp":1787754355167,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case report:<\/jats:title>\n                    <jats:p>\n                      A 63-year-old man presented with progressive left heel pain limiting weight bearing over 5 years with a history of probable nasal rhinosporidiosis (45 years ago). Examination showed calcaneal tenderness, and MR imaging revealed a posteroinferior calcaneal lytic lesion suggestive of osteomyelitis. Cultures were negative, but histopathology confirmed\n                      <jats:italic toggle=\"yes\">Rhinosporidium seeberi<\/jats:italic>\n                      . Surgical debridement, local amphotericin B, and prolonged dapsone achieved excellent outcomes without recurrence at 18 months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>High suspicion and isolation of the organism are crucial for the treatment and successful outcome of Rhinosporidial osteomyelitis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.26.00016","type":"journal-article","created":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:00:27Z","timestamp":1777658427000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Calcaneal Rhinosporidiosis, a Rare Manifestation of Osteomyelitis"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7957-1724","authenticated-orcid":false,"given":"Abdul","family":"Gafoor","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, IQRAA International Hospital and Research Centre, Kozhikode, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5188-5555","authenticated-orcid":false,"given":"Moidu Shameer","family":"KP","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Aster MIMS, Govindapuram, Kozhikode, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6190-1070","authenticated-orcid":false,"given":"Khayas Omer","family":"Kunheen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Government Medical College, Calicut, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6327-3861","authenticated-orcid":false,"given":"Ram Sudhan","family":"Subramaniyan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, P.K. Das Institute of Medical Sciences, Vaniamkulam, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4]]},"reference":[{"issue":"suppl 3","key":"bib1-20260501","doi-asserted-by":"crossref","first-page":"1863","DOI":"10.1007\/s12070-018-1270-2","article-title":"Series of atypical rhinosporidiosis: our experience in Western part of West Bengal","volume":"71","author":"Das","year":"2019","journal-title":"Indian J Otolaryngol Head Neck Surg."},{"key":"bib2-20260501","doi-asserted-by":"crossref","first-page":"bcr2017221786","DOI":"10.1136\/bcr-2017-221786","article-title":"Rare case of disseminated rhinosporidiosis with chronic osteomyelitis of the calcaneum treated by a simple technique of negative pressure wound therapy","volume":"2017","author":"Narayana Kurup","year":"2017","journal-title":"BMJ Case Rep."},{"issue":"1","key":"bib3-20260501","doi-asserted-by":"crossref","first-page":"38","DOI":"10.4103\/jpgm.JPGM_131_19","article-title":"Calvarial involvement in disseminated rhinosporidiosis\u2014a case report and literature review","volume":"66","author":"Dewangan","year":"2020","journal-title":"J Postgrad Med."},{"issue":"7","key":"bib4-20260501","doi-asserted-by":"crossref","first-page":"1594","DOI":"10.1097\/CORR.0000000000000718","article-title":"What are the optimal cutoff values for ESR and CRP to diagnose osteomyelitis in patients with diabetes-related foot infections?","volume":"477","author":"Lavery","year":"2019","journal-title":"Clin Orthop Relat Res."},{"key":"bib5-20260501","article-title":"Rhinosporidiosis-an overview. ScienceDirect Top"},{"issue":"5","key":"bib6-20260501","doi-asserted-by":"crossref","first-page":"523","DOI":"10.4103\/0019-5413.118212","article-title":"Osseous involvement in rhinosporidiosis","volume":"47","author":"Kundu","year":"2013","journal-title":"Indian J Orthop."},{"issue":"2","key":"bib7-20260501","doi-asserted-by":"crossref","first-page":"215","DOI":"10.4103\/0019-5154.152606","article-title":"Subcutaneous rhinosporidiosis masquerading as soft tissue tumor: diagnosed by fine-needle aspiration cytology","volume":"60","author":"Kishan Prasad","year":"2015","journal-title":"Indian J Dermatol."},{"issue":"1","key":"bib8-20260501","doi-asserted-by":"crossref","first-page":"23","DOI":"10.5194\/jbji-7-23-2022","article-title":"Diagnosis of vertebral osteomyelitis","volume":"7","author":"Maamari","year":"2022","journal-title":"J Bone Joint Infect."},{"issue":"9","key":"bib9-20260501","doi-asserted-by":"crossref","first-page":"1747","DOI":"10.18203\/issn.2454-5929.ijohns20203588","article-title":"Human rhinosporidiosis: still an elusive disease","volume":"6","author":"Swain","year":"2020","journal-title":"Int J Otorhinolaryngol Head Neck Surg."},{"key":"bib10-20260501","doi-asserted-by":"crossref","first-page":"1039","DOI":"10.2147\/TCRM.S440996","article-title":"Erythrocyte sedimentation rate for assisted diagnosis of pediatric osteomyelitis: a meta-analysis","volume":"19","author":"Qi","year":"2023","journal-title":"Ther Clin Risk Manag."},{"issue":"2","key":"bib11-20260501","doi-asserted-by":"crossref","first-page":"66","DOI":"10.4274\/tao.2023.2022-9-5","article-title":"Management of disseminated rhinosporidiosis: experience from a single tertiary institution","volume":"62","author":"Raja","year":"2024","journal-title":"Turkish Arch Otorhinolaryngol."},{"issue":"5","key":"bib12-20260501","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1302\/2058-5241.1.000017","article-title":"Chronic osteomyelitis: what the surgeon needs to know","volume":"1","author":"Panteli","year":"2016","journal-title":"EFORT Open Rev."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.26.00016","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:26:18Z","timestamp":1787750778000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.26.00016"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":12,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.26.00016","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]}}}