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| Personal details | |
|---|---|
| Name | Susan Okal |
| Age | 33 years |
| Residence | Nairobi |
| Country | Kenya |
We recently received the following email from Dotty, our nurse in Nairobi:
(Translated from English)
Hello friends,
I hope you are all well. I would like to draw your attention to a case we have dealt with before. The case was not pursued further after the medical records and X-rays went missing. Dirk knows the details.
In any case, all is not lost: she has reappeared. Susan Okal is 33 years old and a single mother of three children.
Susan has had this chronic wound on the front of her left lower leg (below the knee) for more than three years. She is in pain and, from time to time, pus drains from the wound. The affected leg appears significantly thinner than the other. As a result of the imbalance, she has already fallen; she does not have a walking aid.
Her medical history reveals no evidence of a previous fracture. At the last examination, a dry wound measuring 12 cm was noted.
X-ray examinations suggest bone destruction in both the tibia and fibula.
An orthopaedic assessment is urgently required. I hope you can help her.
Yours,
Dotty
So this appears to be a case of chronic osteomyelitis, which, if Susan does not receive help as soon as possible, could lead to the amputation of her lower leg after such a long time. This means the abscess must be treated surgically and Susan, a mother of three children (whom she has to raise on her own!), must be treated with potent (i.e. expensive) antibiotics.
If you want to spare Susan the fate of a leg amputation, please help her!
Thank you very much!