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Linear limb sinus tract in a child.

CHRONIC draining sinus tracts and recurrent abscesses are usually associated with chronic inflammatory disorders (tuberculosis, fungal disorders), neoplasms, inflammatory bowel disease, and the presence of a foreign body. This report describes the case of a child who had recurrent gluteal and thigh abscess, with persistent draining sinus tracts that, in the final analysis, represented a subdermal linear limb sinus tract covering the entire length of the lower extremity. We believe this lesion is of congenital origin; review of the English literature did not reveal a similar case. Report of a Case A 5-year-old girl was admitted to the James Whitcomb Riley Hospital for Children on the Indiana University Medical Center campus on April 11, 1972, with the chief complaint of persistent purulent drainage from the right gluteal fold. The draining area had been present for two years and was initially thought to be related to an insect bite. A single