* Excess periosteal reaction by an extremely sensitive periosteum in response to a low grade anaerobe.
* Manifests as long standing chronic Osteomyelitis without any abscess or sequesterum formation.
* XRay - Expanded bone with generalised sclerosis
* ESR - Usually elevated
* Culture - Usually Negative
* Antibiotics and fenesteration of the sclerotic bone is usually helpful
Case Submitted by
Dr Tushar Mehta
MBBS , DNB , MS (USAIM) , MNAMS
Orthopaedic Surgeon
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