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Journal of the American Podiatric Medical Association, Vol 87, Issue 3 125-130, Copyright © 1997 by American Podiatric Medical Association

JOURNAL ARTICLE

Unusual presentation of calcaneal osteomyelitis. Twenty-five years after inoculation

RS Rogoff, JD Tinkle and DG Bartis
California College of Podiatric Medicine, San Francisco, USA.

An unusual presentation of calcaneal osteomyelitis is described, where-by the infection remained undiagnosed for 25 years. The 36-year-old patient recently sought medical treatment for a reported ankle sprain, but the pain was recalcitrant to conservative care. Further investigation yielded a history significant for stepping on a chicken bone as a child, which entered the inferior lateral heel. Magnetic resonance imaging revealed what plain radiographs did not: a well demarcated lytic lesion in the body of the calcaneus. Intraoperative findings were consistent with an abscess of chronic osteomyelitis. The treatment included incision and drainage, antibiotic beads, and a tricortical bone graft.




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Copyright © 1997 by the American Podiatric Medical Association.