Lab Studies:
X-Rays:
<br>Initial <a href="CaseStudyImages/CS1AnklePaininaStree-185.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> : Minimal lateral soft tissue swelling. Triangular lucency at the distal fibular metaphysis.
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<br>Two months later <a href="CaseStudyImages/CS2CS1AnklePaininaSt-185.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> : Increase in size of lucency in the distal metaphysis with new linear periostitis.
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<br>MRI,: Enhancing lesion at the distal fibula with evidence of Brodie’s abscess superior to the distal fibular physis, as well as a possible chronic infection.
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<br>Bones Scan <a href="CaseStudyImages/CS6CS5CS4CS3CS2CS1An-185.jpg" title="Case Photo #6" data-lity><b>Case Photo #6</b></a> , <a href="CaseStudyImages/CS7CS6CS5CS4CS3CS2CS-185.jpg" title="Case Photo #7" data-lity><b>Case Photo #7</b></a> : Linear uptake in the distal right fibula.
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<br>CT-Guided Bone Biopsy <a href="CaseStudyImages/CS8CS7CS6CS5CS4CS3CS-185.jpg" title="Case Photo #8" data-lity><b>Case Photo #8</b></a> ,: Osteolytic lesion of the distal fibula.
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<br>Sterile Biopsy Results:
<br>Escherichia Coli - Ciprofloxacin (sensitive)
<br>Klebsiella oxytoca – Ciprofloxacin (sensitive)
<br>Klebsiella pneumoniae – Ciprofloxacin (sensitive)
<br>Shigella sonnei (subgroup D) – Ciprofloxacin (sensitive)
Other Studies:
Admission Labs:
<br>WBC: 4.47
<br>ESR: 9
<br>CRP: 0.8
<br>ANA: +1:160 (nucleolar pattern)
<br>Stool Culture - Negative
<br>HIV- negative
Consultations:
Infectious Disease
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