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