DOI: 10.36347/sjmcr.2014.v02i02.017

Pages: 118-121

Osteomyelitis in adult age group, i.e, after closure of epiphysis is usually non-hematogenous. Commonest causes of chronic osteomyelitis are usually compound fractures or secondary to surgical intervention. Suspicion of osteomyelitis in teenager is very important in absence of trauma. Usually whenever there is swelling in limb, first suspicion in absence of trauma is new growth. Often the diagnosis can only be made after carefully studying the histological features of the lesions. We came across such presentation where initially we were investigating the case with suspicion of ewings sarcoma which later on after histopathological examination, turned out to be chronic osteomyelitis of the femur.