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this patient presented to my office approximately two weeks after sustaining a puncture wound to the right foot he was seen at an urgent care center for continued pain and swelling were x-rays were negative he was placed on two courses of antibiotics which failed to relieve his symptoms he presented to the office for evaluation after ultrasound evaluation revealed a subcutaneous foreign body it was successfully removed and the patient was placed back on a final course of antibiotic and final cultures taken [Music]