title: Osteomyelitis of the accessory and body of the navicular bone: a case report.
abstract: A 16-year-old boy developed left foot pain of unknown cause that was unresponsive to conservative treatment, associated with fever and difficulty walking. He was admitted to our hospital with osteomyelitis of the accessory and body of the navicular bone. Surgery could not be performed because the patient had been diagnosed with Wiskott-Aldrich syndrome. After antibiotic therapy, laboratory abnormalities and pain had resolved. One year after treatment, the patient had returned to his original level of sports activity. Both an accessory navicular and the body of the navicular bone may develop osteomyelitis in immunocompromised patients; early diagnosis is important for prescribing effective conservative treatment.
authors.affiliation: Department of Orthopaedics, Shimane University, Izumo, Shimane Prefecture, Japan.
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Kumahashi
authors.forename: Suguru
authors.initials: S
authors.lastname: Kuwata
authors.forename: Shinji
authors.initials: S
authors.lastname: Imade
authors.forename: Yuji
authors.initials: Y
authors.lastname: Uchio
mesh_terms: D061605:Administration, Intravenous; D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002981:Clindamycin / Q000008:administration & dosage; D003937:Diagnosis, Differential; D005528:Foot / Q000000981:diagnostic imaging; D005534:Foot Diseases / Q000000981:diagnostic imaging* / Q000503:physiopathology; D006801:Humans; D016867:Immunocompromised Host; D008279:Magnetic Resonance Imaging; D008297:Male; D008911:Minocycline / Q000008:administration & dosage; D010019:Osteomyelitis / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy*; D010146:Pain / Q000209:etiology; D026741:Physical Therapy Modalities; D013639:Tarsal Bones / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000503:physiopathology; D016896:Treatment Outcome; D014923:Wiskott-Aldrich Syndrome / Q000150:complications
chemical_list: D000900:Anti-Bacterial Agents; D002981:Clindamycin; D008911:Minocycline