Community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) is 
increasing in prevalence among asymptomatic carriers and in cases of paediatric 
soft-tissue infections alike. CA-MRSA may express virulence factors such as 
Panton-Valentine leukocidin, which makes soft-tissue and hard-tissue infections 
due to such organisms challenging to treat. We report a case of osteomyelitis of 
the proximal tibia in a 10-year-old boy and discuss its management in what is to 
the authors' knowledge the first case report of Panton-Valentine 
leukocidin-positive CA-MRSA osteomyelitis in a child in the UK.