Multifocal Osteomyelitis
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Osteomyelitis is an inflammation of the bone typically caused by infection. Staphylococcus is responsible for most cases of osteomyelitis. Chronic osteomyelitis results from a longstanding infection, on average longer than 6 weeks. Chronic osteomyelitis typically results in sclerosis. A 57-year-old confused Hispanic man presented to the emergency department with a 3-day history of leg pain. His past medical history was significant for epilepsy, alcoholism, and psychosis. The physical exam revealed a limited range of motion and pain of the left hip and knee. Admitting labs demonstrated a mild leukocytosis. Contrast-enhanced CT (CECT) scans of the pelvis and chest were obtained during the hospital stay. CT showed a large multiseptated and multiloculated, hypodense fluid collection with a few tiny air bubbles seen in the nondependent portion of the collection. The collection coursed between the fractures toward the left inguinal area within the adductor muscle group CT showed a large multiseptated and multiloculated, hypodense fluid collection with a few tiny air bubbles seen in the nondependent portion of the collection. The collection coursed between the fractures toward the left inguinal area within the adductor muscle group.

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