Ostemyelitis is a well-known yet debilitating complication of puncture wounds involving the feet; Pseudomonas aeruginosa is isolated in the majority of cases. The importance of recognizing this entity cannot be overemphasized, given the destructive nature of this infection as well as the strongly recommended role of early surgical intervention. A nail puncturing the foot through a sneaker has been reported so often that it is widely believed that there is something unique to the construction of the sneaker that predisposes to Pseudomonas colonization. There have been no reported cases known to us that have developed after plantar puncture wounds through rubber sandals. We believe that our case is instructive in that it prompts us to reconsider our assumptions regarding osteomyelitis after puncture wounds of the feet.