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

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    Authors
    Street, John
    Lenehan, Brian
    Mulcahy, David
    McGuinness, Anthony
    Affiliation
    Department of Trauma and Orthopaedics, Cork University Hospital, Cork, Ireland., hrb_street@yahoo.com
    Issue Date
    2012-02-03T15:06:47Z
    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
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    Citation
    Acta Orthop Belg. 2005 Jun;71(3):361-5.
    Journal
    Acta orthopaedica Belgica
    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
    ISSN
    0001-6462 (Print)
    0001-6462 (Linking)
    Collections
    Cork University Hospital

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