Pelvic girdle sepsis in childhood. An illustrative case of the difficulty in diagnosis.
Affiliation
Department of Trauma and Orthopaedics, Cork University Hospital, Cork, Ireland., hrb_street@yahoo.comIssue Date
2012-02-03T15:06:47ZMeSH
Abscess/*diagnosis/therapyAdolescent
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
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Show full item recordCitation
Acta Orthop Belg. 2005 Jun;71(3):361-5.Journal
Acta orthopaedica BelgicaPubMed ID
16035714Abstract
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
engISSN
0001-6462 (Print)0001-6462 (Linking)
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