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x-ray reveals evidence of bone destruction in the proximal fifth toe and of the distal metatarsal (arrows).
Diagnosis: The x-ray reveals evidence of bone destruction in the proximal fifth toe and of the distal metatarsal (arrows). Patients with diabetes are prone to osteomyelitis. This patient needs immediate assessment in the hospital and treatment.
Case presented by Nahum Kovalski, BSc, MDCM, Terem Emergency Medical Centers, Jerusalem, Israel.
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59-year-old diabetic with pain and swelling in foot

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services
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