Lower Leg Pain - Sedentary

HISTORY: A 16-y/o male originally seen by his PCP for right lower leg pain and swelling that had been going on for 1 week. PHYSICAL EXAMINATION: He exhibited tenderness with mild erythema and swelling but no laceration or deformity on the anteromedial distal third of the right tibia. There was no ankle, knee, or hip involvement noted, and no neurovascular deficit was found distally. DIFFERENTIAL : 1. Stress Ex 2. Osteomyelitis 3. Bone cyst 4. Bony tumors (Ewing's sarcoma and giant cell tumors) 5. Juvenile rheumatoid arthritis 6. Brown tumors of hyperparathyroidism, fibrocortical defects, fibrous dysplasia, and eosinophilic granuloma. FINAL WORKING DIAGNOSIS: Brodie's Abscess TREATMENT AND OUTCOMES: 1. Surgical debridement and drainage of abscess. 2. Six weeks of IV antibiotics for MSS A culture, plus 2 weeks of Cephalexin po 3. ESR, CRP, and WBC (