Chronic osteomyelitis post fracture

A 45 years old male met with a road traffic accident for which he got admitted to AVBRH hospital. On admission x-ray was done; which revealed multiple fracture of the right femur. This patient was operated by open reduction and internal fixation, the individual is a known diabetic since 5 years and is on regular medication for the same. The limb was then immobilized in the cast and the patient was discharged after one month; when he came back for plaster removal. The patient complains of pain in the right thigh, fever, weakness and enlarged femoral lymph nodes. Radiography was done; which revealed formation of involucrum (A,B). Later WBC count and x ray was done to confirm the diagnosis. The individual mention the history of working in the farm. After 3 days as mentioned by patient, he had fever. He consulted a general physician who gave him medication.