Pathologic fracture and hardware failure in Streptococcus anginosus femoral osteomyelitis: Case report

•S. anginosus femoral osteomyelitis is rare and difficult to diagnose and treat.•Conservative measures failed, and pathologic fracture later ensued.•Although sparse, existing reports suggest early surgical management is indicated.•This report provides more evidence for early and aggressive surgical management.•Good outcome was achieved with antibiotic coated intramedullary nailing.