Case presentation: A 30-year-old man with sickle cell disease (SCD) of type hemoglobin SS (HbSS) presented to a physician with complaints of sudden onset of right foot pain for three days. The pain was continuous and non-radiating in nature, with no history of trauma or fever. The patient had no major complications of SCD. Medical history: He had no history of ICU admissions, blood transfusions, surgical interventions, or any current drug use. Physical examination: The vital signs were within the normal range.
The right foot had a 3 cm swelling below the lateral malleolus, extending to the planter part of the foot. The swelling was mildly tender, firm, and warm. There were no signs of erythema or discharge, and the blood vessels were palpable. Laboratory investigations: WBC: 11.5/L Hemoglobin (Hgb): 12.0 g/dL Platelet (PLT): 149,000/L Renal panel: Normal Liver panel: Normal C-reactive…