Clinical Practice and Cases in Emergency Medicine

A 38-year-old female seasoned marathon runner presented to the emergency department (ED) with increasing right lower extremity pain after running two mid-distance races in one weekend. The patient had previously run many two-day races and longer distances, but recently had gainedweight and had not been training.  This case report details her presenting symptoms, evaluation, review of the literature, and treatment with attention to the factors that led to the development of herpathologies.