A case of bony injury and osteomyelitis during the Covid-19 lockdown

Social isolation has been linked with psychological and cognitive decline and this has become more pertinent during the Covid19 pandemic. Here we report a case of self-inflicted tibial bony defect with associated osteomyelitis due to leg ulcers, self-neglect, and lack of support during self-isolation relating to Covid-19 restrictions. The soft tissue and bony defect created was extensive and it is likely caused by a support stocking acting as a tourniquet over a long time. The patient developed osteomyelitis and septicaemia and was treated with IV antibiotics. She was found to have mild cognitive impairment and was referred to community memory services. Thus, successive lockdowns with subsequent self-elected isolation have serious consequences for physical and mental well-being.