Abstract

CASE REPORT ON- OSTEOMYELITIS WITH EWING’S SARCOMA

S. Sindhuja*, Khaleequa Tabassum and Md. Tarique Nadeem

Abstract

Osteomyelitis is defined as an acquired inflammatory condition of a skeletal muscle. Ewings sarcoma is a type of tumor which consists of a certain type of cells in a bone or soft tissue and it may be formed in the bones of arms, legs and other areas of abdominal cavity. Typical clinical findings include tenderness over the infected bone, reduced motion in adjacent joints and local signs of inflammation and infection with systemic illness, including fever and lethargy. Our case mainly involved in differentiating the diagnosis of osteomyelitis with Ewing’s sarcoma and they are both involved in the same typical signs and symptoms as they will be differentiated by the bone biopsy and MRI which is observed from the present case report. The following medications were given on admission: linezolid 10mg, amikacin sulfate 15mg, Syp. Ibugesic plus 5ml, inj. Pan 40mg, Syp. Ambroxyl 5ml and the same medication was followed for 7 days. After the patient has developed intermittent pain and swelling over the affected area which is observed from laboratory investigations then the patient had been diagnosed with ewings sarcoma. Patient has undergone wide local excision. Proper diagnosis is needed to provide accurate pharmacotherapy and to avoid progression of the disease.

Keywords: Osteomyelitis, Ewing’s sarcoma, MRI, biopsy.