Rib osteomyelitis is a rare disease affecting only in 1% or less of hematogenous osteomyelitis. Only 58 cases of rib osteomyelitis were reported in the last century, of which only five patients were reported with multiple rib osteomyelitis. Diagnosis of osteomyelitis often gets delayed due to its rarity and non-specific clinical presentation. In children, osteomyelitis arises in the metaphysis of long bones, such as femur, tibia, and humerus. In sporadic cases, the involvement of short and flat bones, such as ribs, can be observed.

The below case presents a 13-year-old girl with multifocal rib osteomyelitis. A 13-year-old girl was presented with painful swelling of the posterior left chest wall for the last three months. The patient was having symptoms of fever without weight loss. Medical history: The patient was having a history of cutaneous mycosis for two years. Physical…