Timeline:
Her condition started 2 months prior to presentation with right distal
leg and ankle pain. The pain is dull aching, deeply seated and mild in
nature. It started gradually. The pain increase with any type of effort
and associated with night sweating. This pain affect her work
performance and her walking distance.
The pain was associated with swelling on the anterior side of the ankle.
There was skin discoloration and no associated sinus discharge. She also
complained of night fever and weight loss and no loss of appetite or
fatigability. She has no significant past or family history and her
other systems were clear.