Haematogenous osteomyelitis of the first metatarsal sesamoid

Summary A rare case of haematogenous osteomyelitis of the sesamoid of the first metatarsophalangeal-joint visualized by a CT-scan have been presented. The characteristics of this disease have been stressed. When the diagnosis had been considered treatment should be surgical drainage with debridement of all infected tissues. Previous authors [2, 3, 9] recommend antibiotic treatment, but it was not given to this patient. There was total cure after three months.