Fig. 3.

A 36-year-old woman with Acanthamoeba spp. osteomyelitis of the left fibula. Repeat frontal radiograph shows progressive destruction of the fibula. The sharp superior margin of the distal piece of the fibula is consistent with prior surgical debridement (white arrow), but the irregular margin along with poor cortication and focal demineralization of the proximal fibula suggests persistent or recurrent infection (black arrow). Homogeneous soft-tissue density in the adjacent soft tissues represents recurrence of abscess (*).