An Unusual Etiology for Osteomyelitis in an Immunocompetent Host

A 58-year-old man sustained an open fracture dislocation of the right ankle when he fell from a stepladder while trimming hedges. He underwent irrigation and debridement followed by open reduction internal fixation (ORIF) for the injury. He received antibiotics during admission but not following discharge. The surgical site healed, radiographs showed stable hardware, and he progressed well when seen in orthopedic follow-up. Six months after ORIF he underwent planned removal of prominent lateral ankle hardware. Operative notes indicated no sign of infection at the time of hardware removal, and the surgical incision healed.

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