Pelvic girdle sepsis in childhood. An illustrative case of the difficulty in diagnosis.
Street, John Lenehan, Brian Mulcahy, David McGuinness, Anthony
Street, John
Lenehan, Brian
Mulcahy, David
McGuinness, Anthony
Advisors
Editors
Other Contributors
Date
2012-02-03T15:06:47Z
Date Submitted
Keywords
Other Subjects
Subject 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
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
Planned Date
Start Date
Collaborators
Principal Investigators
Alternative Titles
Publisher
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
ISSN
0001-6462 (Print)
0001-6462 (Linking)
0001-6462 (Linking)
eISSN
ISBN
DOI
PMID
16035714