DOI: 10.36347/sasjs.2023.v09i11.015

Pages: 948-951

Introduction: Chronic osteomyelitis is a chronic infection of the bone and marrow. It evolves in a tenacious and recurrent manner. Observation: 15 year old boy, not in school, without known ATCD, admitted for painful swelling of the left leg in whom the onset of the disease dates back to 04 years marked by pain in the left leg associated with a fever. On the locomotor examination we noted a painful swelling of the left leg with 03 fistulous orifices on the anteromedial aspect of the left leg; leaking foul-smelling pus. He benefited from a pus sample for a cytobacteriological study, a sequestrectomy, curettage and abundant washing with hydrogen peroxide and physiological serum. The postoperative course was simple. The patient was seen again at 10 months and he presented a good clinical, biological and radiological evolution. Conclusion: Chronic osteomyelitis mainly affects the young population. Pandiaphysitis with sequestra remains its clinical forms which pose enormous therapeutic problems.