Osteomyelitis (foot)

Case contributed by Maulik S Patel


Atraumatic origin of the left foot pain, swelling for the last 2 - 3 weeks. Mild local pain. No fever.

Patient Data

Age: 5 years
Gender: Female

1st metatarsal shows periosteal reaction. 5th metatarsal shows periosteal reaction with metaphyseal region erosion. There is no fracture/ dislocation.


There is erosion of 1st metatarsal metaphysis near its base. There is 5th metatarsal periosteal reaction with erosion in mephyseal region. There is no adjacent joint effusion / soft tissue abscess/ tendon pathology. There is a non-necrotic subcentimeter sized lymphnode in the popliteal fossa. There was no inguinal lymphadenopathy.

Case Discussion

A child presented with foot pain and swelling without fever for the last 2 to 3 weeks. Radiograph and ultrasound favor osteomyelitis. Surgery was done. Pathology work up revealed a bactarial infection.

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