“
TL;DR
A 25-year-old male farmer presented with right heel pain, a 3×2 cm discharging ulcer, low-grade fever, and inability to bear weight, one month after farming-related foot trauma involving vegetative matter.
Cureus · 5 authors, 4 centres
This summary was generated by AI from a single paper. It has not been reviewed by a clinician and is not clinical advice. Verify against the source before acting on it.
A 25-year-old male farmer presented with right heel pain, a 3×2 cm discharging ulcer, low-grade fever, and inability to bear weight, one month after farming-related foot trauma involving vegetative matter.
A 25-year-old male farmer presented with right heel pain, a 3×2 cm discharging ulcer, low-grade fever, and inability to bear weight, one month after farming-related foot trauma involving vegetative matter. Laboratory findings showed mild neutrophil-predominant leukocytosis (WBC 11,900/mm³) and elevated ESR (27 mm/hour). Plain radiograph revealed an osteolytic lesion in the calcaneum with periosteal reaction. Treatment comprised sinus debridement followed by five days of intravenous cefuroxime, then oral cefadroxil, with symptom relief by day 10 of hospitalization. Limitations include the absence of MRI/CT confirmation, loss to follow-up preventing assessment of long-term outcomes, and the inherent constraints of a single-case design. The case illustrates sinogram as a feasible diagnostic alternative when advanced imaging is inaccessible.