Tendoachilles pyomyositis

Case contributed by Jeremy Jones
Diagnosis certain

Presentation

Increasing pain around the right heel with raised inflammatory markers.

Patient Data

Age: 10 years
Gender: Female
ultrasound

There left tendoachilles is large and contains an echo-poor collection.

mri

There is a lot of inflammatory change around the distal tendoachilles with contrast-enhancing fluid collection in the tendon and the adjacent muscle.

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