An Uncommon Opponent: A Unique Case Of Acute Ankle Pain In A Youth Soccer Player

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An Uncommon Opponent: A Unique Case Of Acute Ankle Pain In A Youth Soccer Player - Page #3

Lab Studies: Inflammatory markers were markedly elevated, with an erythrocyte sedimentation rate of 61 millimeters per hour (reference range: 0-19 millimeters per hour) and a C-reactive protein level of 133.2 milligrams per liter (reference range: less than 8 milligrams per liter). A complete blood count was normal without leukocytosis. Blood cultures and a repeat viral panel were negative. Other Studies: Right ankle radiographs demonstrated an intact ankle mortise without fracture. Case Photo #1 Magnetic resonance imaging of the tibia and fibula with contrast obtained the same day demonstrated distal fibular osteomyelitis with a large periosteal abscess and ankle joint synovitis. Case Photo #2 Consultations: Orthopedic Surgery and Pediatric Infectious Disease were consulted. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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