Online Program

Foot and Ankle Manifestation of Disseminated Coccidiodomycosis: A Case Report

Tuesday, November 3, 2015 : 11:00 a.m. - 11:15 a.m.

Chia-Ding Shih, DPM, MA, Department of Surgery, VA Greater Los Angeles Health Care System/Olive View UCLA Medical Center, Los Angeles, CA
Michael Stastny, DPM, Department of Surgery, VA West Los Angeles Health System/Olive View UCLA Medical Center, Los Angeles, CA
Raffi Salibian, MD, Department of Radiology, Olive View-UCLA Medical Center, Sylmar, CA
Suzanne Donovan, MD, MPH, Department of Medicine, Olive View UCLA Medical Center, Sylmar, CA
Coccidiodomycosis, also known as valley fever, is an airborne fungal infection that is typically transmitted through inhalation of arthroconidia. While Southwestern United States is highly endemic, California is particularly affected by Coccidioides immitis. Although dissemination is rare, spread to extrapulmonary soft tissue, bone or joint is well documented. In this presentation, a case of rare dissemination to the lower extremity involving the ankle and its subsequent sequelae will be presented. Through this case study, the authors aim to elucidate the current diagnostic and clinical management of disseminated Coccidiodomycosis, especially for the podiatric practitioner. Secondary aims include promoting the awareness of disseminated Coccidiodomycosis and advocating an interdisciplinary approach for comprehensive medical reconciliation.

Learning Areas:

Clinical medicine applied in public health
Other professions or practice related to public health
Protection of the public in relation to communicable diseases including prevention or control

Learning Objectives:
Discuss a foot and ankle manifestation of disseminated Coccidiodomycosis. Formulate a proper approach for a foot and ankle manifestation of disseminated Coccidiodomycosis. Demonstrate interdisciplinary collaboration for better patient care.

Keyword(s): Prevention, Pathogens

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been heavily involved in this case study as well as the care of the patient. As a physician-in-training to be a foot and ankle specialist, my special interest has been focused on any foot and ankle pathology, particularly on infectious disease and wounds.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.