24-year-old male with an initial diagnosis of first metatarsophalangeal (MTP) arthritis, on imaging tests the only abnormal findings were a bipartite medial sesamoid versus medial sesamoid fracture. During follow-up, patient developed fistulization of the first MTP with a positive culture for methicillin-sensitive Staphylococcus aureus (MSSA) and was diagnosed with septic arthritis (SA) of the first MTP joint. He was treated with surgical debridement and targeted antibiotic therapy, resulting in good outcomes and satisfactory progress.
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Donadeu et al. (2024) studied this question.
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