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Early osteomyelitis in a six-year-old with fever and ankle pain

Early osteomyelitis in a six-year-old with fever and ankle pain
Radiographs of the ankle (A) demonstrate deep soft tissue swelling (arrow) inferior to the medial malleolus. A technetium 99m bone scan shows increased uptake in the distal tibia in the blood flow (B) and bone uptake (C; four hour) phases.
Courtesy of Marvin B Harper, MD.
Graphic 77957 Version 4.0