Deep Venous thrombosis with osteomyelitis in a childhaving Protein C deficiency; A case report.

Deep venous thrombosis is not very common in pediatric orthopedic cases, although it may present in association with other pathologies. Recent reports have shown association between osteomyelitis and deep venous thrombosis (DVT).

We report a case of osteomyelitis in a child having deep venous thrombosis who was admitted for deep venous thrombosis and then diagnosed to have osteomyelitis. On further investigations, patient had protein C deficiency which is one of the rare causes of thrombotic tendencies. Diagnosis of osteomyelitis was delayed due to overlapping clinical signs. As DVT associated with osteomyelitis is known for complications like septic emboli and their sequel, increased awareness is required in the orthopedic community in order to diagnose and treat this condition appropriately so as to prevent the morbidity. We highlight on potential difficulties in diagnosing a case of deep venous thrombosis associated with osteomyelitis and brief review of related literature.