| Pelvic girdle sepsis in childhood. An illustrative case of the difficulty in diagnosis. | |
| | |
MedLine Citation:
|
PMID: 16035714 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
John Street; Brian Lenehan; David Mulcahy; Anthony McGuinness |
Related Documents
:
|
8339474 - Eikenella corrodens vertebral osteomyelitis. a case report and literature review. 18455464 - Mycobacterium marinum osteomyelitis of a long bone. 10695864 - Two-stage extensor tendon reconstruction after composite tissue loss from the dorsum of... 8869614 - Malignant otitis externa in hiv and aids. 15821364 - Spontaneous pneumocephalus presenting with apnea attacks in a newborn with open myelome... 16037914 - Paraneoplastic chorea with leukoencephalopathy presenting with obsessive-compulsive and... |
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 |
Affiliation:
|
Department of Trauma and Orthopaedics, Cork University Hospital, Cork, Ireland. hrb_street@yahoo.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
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 |
| Chemical | |
Reg. No./Substance:
|
0/Anti-Bacterial Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Unusual case of thoracic outlet syndrome caused by a neurilemmoma in the pectoralis minor space.
Next Document: Tuberculosis of the ilium: is it really so rare?