Abstract
60-year-old diabetic patient, followed for Hodgkin's lymphoma who presented to the emergency room for diffuse abdominal pain in a febrile context. The biological examination showed hyperleucocytosis with a high CRP (320mg/l). An ultrasound was performed showing a voluminous lateralized right pelvic collection confirmed by an abdominal CT scan. The patient benefited from a percutaneous drainage objectifying a purulent liquid. The cytobacteriological examination came back in favor of E.coli. The patient was put on ceftriaxone-based antibiotic therapy. Evolution is marked by a decrease in fever with persistence of high CRP. A CT scan showed a clear regression of the collection with the appearance of intraosseous air bubbles in the iliac wings without cortical involvement, suggesting emphysematous osteomyelitis.
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