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Background: Aspergillosis is a rare cause of osteomyelitis and septic arthritis. Aspergillus osteomyelitis is a debilitating infection affecting both immunocompromised and immunocompetent patients. It is associated with a high incidence of morbidity and mortality. Infection with Aspergillus flavus species in the knee has been very rarely seen in the past. Case presentation: We present a case of septic arthritis of the knee in an Indian patient secondary to infection with Aspergillus flavus, which was earlier managed as a case of tuberculosis based on the endemicity of the condition, later leading to disseminated aspergillosis. There was no clinical feature or investigation suggesting immunocompromised state. Following knee arthrotomy, Aspergillus flavus was isolated and patient was subsequently managed with antifungals leading to recovery after three months. Conclusions: Disseminated aspergillosis can mimic tuberculosis both clinically and radiologically. Though fungal infections affect joints rarely but they must always be ruled out to avoid later complications. [ABSTRACT FROM AUTHOR]

Introduction: The association of fibular duplication with metatarsal diplopodia is extremely rare with only a few cases reported in the medical literature., Case Presentation: We present a 4-month-old girl with left tibial agenesis with fibular duplication (mirror foot) and metatarsal diplopodia., Conclusion: The case report highlights the need for an understanding of this rare congenital anomaly which may be seen only once in the working lifetime of an orthopaedic surgeon.