Timeline:
She was quite well till 4 months ago when her mother noticed that she had a limp while walking. At that time there was no swelling. The patient was taken to the hospital where she was treated as having muscular pain with only simple analgesics. One month later she developed a swelling in the left thigh which was associated with mild fever. X-ray, U/S and CBC were done and a diagnosis of chronic osteomyelitis was made. I.V cefuroxime and surgical drainage was attempted. No pus was found, so multiple drill holes was made looking for an intramedullary collection and again nothing drained except an organized hematoma
Patient was deteriorating every day with more pain and more swelling. Parents took their own decision to seek medical advice in the principal hospital. Full clinical, laboratory and radiological workup was done once the patient received. There was a huge swelling in the left thigh extending from the hip down to the knee