Pelvic girdle sepsis in childhood. An illustrative case of the difficulty in diagnosis.

Hdl Handle:
http://hdl.handle.net/10147/208897
Title:
Pelvic girdle sepsis in childhood. An illustrative case of the difficulty in diagnosis.
Authors:
Street, John; Lenehan, Brian; Mulcahy, David; McGuinness, Anthony
Affiliation:
Department of Trauma and Orthopaedics, Cork University Hospital, Cork, Ireland., hrb_street@yahoo.com
Citation:
Acta Orthop Belg. 2005 Jun;71(3):361-5.
Journal:
Acta orthopaedica Belgica
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/208897
PubMed ID:
16035714
Abstract:
The child who presents with fever, limp and hip pain will often undergo multiple diagnostic procedures before a definitive diagnosis is made. We describe a diagnostically challenging case of a 14-year-old boy presenting with an atraumatic painful limp and pyrexia. Eventually the diagnosis of obturator internus muscle abscess with associated ischial osteomyelitis was made. Of the 19 previous cases reported, four children had associated osteomyelitis and were of an older age. Symptomatology varies, clinical examination is non-specific and the diagnosis can be difficult. Haematological indices are more predictive than in cases of classical osteomyelitis or septic arthritis. Subtle features on conventional radiography and isotope bone scanning should not be overlooked while CT and MRI may be complementary in diagnosis.
Language:
eng
MeSH:
Abscess/*diagnosis/therapy; Adolescent; Anti-Bacterial Agents; Combined Modality Therapy; Drainage/methods; Drug Therapy, Combination/therapeutic use; Follow-Up Studies; Humans; Lower Extremity; Magnetic Resonance Imaging; Male; Osteomyelitis/*diagnosis/therapy; Pain/diagnosis/etiology; Risk Assessment; Sepsis/*diagnosis/therapy; Severity of Illness Index; Soft Tissue Infections/*diagnosis/therapy; Staphylococcal Infections/*diagnosis/therapy; Tomography, X-Ray Computed; Treatment Outcome
ISSN:
0001-6462 (Print); 0001-6462 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorStreet, Johnen_GB
dc.contributor.authorLenehan, Brianen_GB
dc.contributor.authorMulcahy, Daviden_GB
dc.contributor.authorMcGuinness, Anthonyen_GB
dc.date.accessioned2012-02-03T15:06:47Z-
dc.date.available2012-02-03T15:06:47Z-
dc.date.issued2012-02-03T15:06:47Z-
dc.identifier.citationActa Orthop Belg. 2005 Jun;71(3):361-5.en_GB
dc.identifier.issn0001-6462 (Print)en_GB
dc.identifier.issn0001-6462 (Linking)en_GB
dc.identifier.pmid16035714en_GB
dc.identifier.urihttp://hdl.handle.net/10147/208897-
dc.description.abstractThe child who presents with fever, limp and hip pain will often undergo multiple diagnostic procedures before a definitive diagnosis is made. We describe a diagnostically challenging case of a 14-year-old boy presenting with an atraumatic painful limp and pyrexia. Eventually the diagnosis of obturator internus muscle abscess with associated ischial osteomyelitis was made. Of the 19 previous cases reported, four children had associated osteomyelitis and were of an older age. Symptomatology varies, clinical examination is non-specific and the diagnosis can be difficult. Haematological indices are more predictive than in cases of classical osteomyelitis or septic arthritis. Subtle features on conventional radiography and isotope bone scanning should not be overlooked while CT and MRI may be complementary in diagnosis.en_GB
dc.language.isoengen_GB
dc.subject.meshAbscess/*diagnosis/therapyen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshAnti-Bacterial Agentsen_GB
dc.subject.meshCombined Modality Therapyen_GB
dc.subject.meshDrainage/methodsen_GB
dc.subject.meshDrug Therapy, Combination/therapeutic useen_GB
dc.subject.meshFollow-Up Studiesen_GB
dc.subject.meshHumansen_GB
dc.subject.meshLower Extremityen_GB
dc.subject.meshMagnetic Resonance Imagingen_GB
dc.subject.meshMaleen_GB
dc.subject.meshOsteomyelitis/*diagnosis/therapyen_GB
dc.subject.meshPain/diagnosis/etiologyen_GB
dc.subject.meshRisk Assessmenten_GB
dc.subject.meshSepsis/*diagnosis/therapyen_GB
dc.subject.meshSeverity of Illness Indexen_GB
dc.subject.meshSoft Tissue Infections/*diagnosis/therapyen_GB
dc.subject.meshStaphylococcal Infections/*diagnosis/therapyen_GB
dc.subject.meshTomography, X-Ray Computeden_GB
dc.subject.meshTreatment Outcomeen_GB
dc.titlePelvic girdle sepsis in childhood. An illustrative case of the difficulty in diagnosis.en_GB
dc.contributor.departmentDepartment of Trauma and Orthopaedics, Cork University Hospital, Cork, Ireland., hrb_street@yahoo.comen_GB
dc.identifier.journalActa orthopaedica Belgicaen_GB
dc.description.provinceMunster-

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