The impact of osteoarticular invasion by Coccidioides Sp disseminated infection

Coccidioidomycosis is a fungal infection caused by <i>Coccidioides immitis</i> and <i>C. posadasii</i>. It leads to significant morbidity and mortality in both immunocompetent and immunocompromised individuals and is more prevalent in endemic regions. Fungal bone infections are rare, and osteoarticular involvement typically occurs secondary to hematogenous dissemination or direct cutaneous inoculation with contiguous spread. This case demonstrates osteoarticular involvement and the spread to adjacent structures, causing pain, restricting mobility, and deteriorating the patient's quality of life.