Initial Case Photo #1: Minimal lateral soft tissue swelling. Triangular lucency at the distal fibular metaphysis.
Two months later Case Photo #2: Increase in size of lucency in the distal metaphysis with new linear periostitis.
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.
Bones Scan Case Photo #6, Case Photo #7: Linear uptake in the distal right fibula.
CT-Guided Bone Biopsy Case Photo #8,: Osteolytic lesion of the distal fibula.
Sterile Biopsy Results:
Escherichia Coli - Ciprofloxacin (sensitive)
Klebsiella oxytoca – Ciprofloxacin (sensitive)
Klebsiella pneumoniae – Ciprofloxacin (sensitive)
Shigella sonnei (subgroup D) – Ciprofloxacin (sensitive)
ANA: +1:160 (nucleolar pattern)
Stool Culture - Negative
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