Dual Burden: Osteomyelitis Secondary to Disseminated Coccidioidomycosis in an Immunocompetent Patient.

Disseminated coccidioidomycosis is a rare but serious complication of infection with Coccidioides species that can affect multiple organ systems, including bone. We report the case of an immunocompetent adult who developed disseminated coccidioidomycosis complicated by osteomyelitis. The patient initially presented with back pain and foot findings suggestive of infection. Diagnostic workup, including imaging and microbiologic studies, confirmed Coccidioides infection with osseous involvement. The patient was managed with prolonged antifungal therapy and multidisciplinary care.