Document Detail

Pelvic girdle sepsis in childhood. An illustrative case of the difficulty in diagnosis.
MedLine Citation:
PMID:  16035714     Owner:  NLM     Status:  MEDLINE    
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.
John Street; Brian Lenehan; David Mulcahy; Anthony McGuinness
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Acta orthopaedica Belgica     Volume:  71     ISSN:  0001-6462     ISO Abbreviation:  Acta Orthop Belg     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-07-22     Completed Date:  2005-08-30     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  2985165R     Medline TA:  Acta Orthop Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  361-5     Citation Subset:  IM    
Department of Trauma and Orthopaedics, Cork University Hospital, Cork, Ireland.
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MeSH Terms
Abscess / diagnosis*,  therapy
Anti-Bacterial Agents
Combined Modality Therapy
Drainage / methods
Drug Therapy, Combination / therapeutic use
Follow-Up Studies
Lower Extremity
Magnetic Resonance Imaging
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
Reg. No./Substance:
0/Anti-Bacterial Agents

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