
A 9 year old girl of mixed racial ethnicity with a recurrent history of mycobacterial disease presents to a tertiary hospital with a persistently painful, swollen left ankle responding slowly to indicated treatment. She has no other pain but generally feels tired and has a poor appetite.
Acknowledgement
This case study was kindly provided by Dr Justyna Wojno, from Groote Schuur Hospital, Western Cape
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Differential Diagnosis
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