A 70-year-old woman with a history of COPD presents with dyspnea and has been coughing up green sputum. A week later, she experiences increasing heel pain. What's causing her symptoms?
Six days later she returns to the office. Her bronchitis has improved, but she has developed pain above the right heel. A chest examination shows decreased rhonchi. She is advised to take the remaining levofloxacin and to reduce her activity.
Two days later a telephone call confirms that the ointment has reduced the local pain and the bronchitis has resolved. However, 2 days after that phone call, the patient returns to the office with worsening pain above the heel. She now has a limp and tends to drag the right leg.
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