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Caveat: Elusive Foreign Body: A Reminder

Published:October 13, 2021DOI:https://doi.org/10.1016/j.amjmed.2021.09.009
      A healthy 36-year-old woman was admitted to the department of medicine with fever and chronically swollen painful shin. Three months prior she had a fall and injured her leg while riding her bicycle in the countryside. She was then examined in the emergency department, where a dressing was applied to her open wound. An x-ray and soft tissue ultrasound had been unremarkable. However, over weeks, the area became swollen and painful. Several courses of antibiotics prescribed by primary care physicians, some of them prolonged, had no effect. When she became febrile, she was referred to the hospital and was admitted.
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