A case report of hematogenous calcaneal osteomyelitis has been presented along with a brief review. Hematogenous osteomyelitis of the foot is an uncommon but potentially devastating disease that can result in severe long-term sequelae. An index of suspicion in cases such as these can help the physician prevent unnecessary delay in treatment. In pediatric hematogenous osteomyelitis, oral antibiotics can often be sufficient for long-term therapy, provided sufficient surgical decompression is performed.