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Rare mimic of pedal osteomyelitis in a patient with diabetes
Author(s) -
Kumar S.,
Kyi M.,
Wraight P. R.
Publication year - 2016
Publication title -
diabetic medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.474
H-Index - 145
eISSN - 1464-5491
pISSN - 0742-3071
DOI - 10.1111/dme.13026
Subject(s) - medicine , osteomyelitis , diabetic foot , etiology , gold standard (test) , diabetes mellitus , bone biopsy , biopsy , surgery , foot (prosody) , bone infection , physical examination , radiological weapon , radiology , pathology , linguistics , philosophy , endocrinology
Background Diabetic foot infections are an important cause of hospitalization, health expenditure and mortality. Bone biopsy is the gold standard for diagnosing diabetic foot osteomyelitis [1][Butalia S, 2008] but it is not routinely performed in most centres. Instead, a combination of history, examination, biochemical and radiological findings are used to make the diagnosis. Case Report Here, we report a case mimicking diabetic foot osteomyelitis, where the histology was crucial in acquiring the correct diagnosis. Conclusion The absence of ulceration in cases of presumed diabetic foot osteomyelitis should raise suspicion of potential rare mimics of osteomyelitis and bone biopsy should be considered to further evaluate the underlying etiology prior to any definitive surgical management.