Septic arthritis of the first metatarsophalangeal joint: a case report.

sesamoid bone pathology is rare, with fractures and sesamoiditis being the most common conditions. Acute or chronic infection osteomyelitis of sesamoids is extremely unusual, and aggressive treatment is required. Sample collection should be performed to initiate targeted antibiotic therapy for the causative pathogens, with Staphylococcus aureus and Pseudomonas aeruginosa being the most frequent. Subsequently, extensive surgical debridement should be performed, aiming to avoid complete sesamoidectomy due to its significant comorbidity.