The patient was a 52-year-old male, born in Morocco, and living in Spain for the last 25 years. He was diagnosed with Diabetes Mellitus more than 25 years before and was a heavy smoker until he quit 6 years ago.At the age of 25, he suffered a closed hip fracture after am uncertain intensity occupational accident while working as a farmer and required surgery with placement of osteosynthe-sis material that apparently consisted in an intramedullary nail. Hardware had to be removed after a short time (2-3 months) due to infection, as endorsed by the patient, although he did not provide any information on the nature of the infection or the antimicrobial treatment received.The patient was a native of northern Morocco, a shoe-maker by profession, in an inactive situation at the present time and awaiting a disability concession. He lived with a friend and receives habitual treatment with long-acting insu-lin glargine and acetaminophen.Chief complaint. He was admitted from the outpatient Orthopedic Clinic due to pain in the right hip that was point-ed at fingertips. The pain had intensified in recent years and the patient had progressive gait limitation that prevented him from walking without the help of a cane. Over the past 12-15 years, he had occasionally experienced “holes” that opened..
