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European Journal of Pediatrics

, Volume 166, Issue 3, pp 259–261 | Cite as

Pyomyositis: a limping diagnosis

  • Menno R. van den Bergh
  • Irene A. M. Schiering
  • Feikje M. Gubler
  • J. Peter de Winter
Short Report

A painful hip as presenting symptom in a young child has a broad differential diagnosis. However, when there is associated fever, some diagnoses are more likely, such as septic arthritis and osteomyelitis. Pyomyositis involving the pelvic obturator muscles is a rare entity. Here we present a case of pyomyositis of the obturator muscles in a 9-year-old boy, presented with a painful hip and fever.

A 9-year-old boy presented with pain in the right hip and fever. The pain was characterised by a sudden onset 4 days earlier, located just below the inguinal ligament. He was able to pinpoint the location with a single finger and no other painful locations were identified. The pain was not always present and worsened during walking, making him limp to a limited extent. In resting position, he left his leg in an obvious external rotation. There was no history of recent trauma or strenuous exercise preceding this episode. His fever at the time of admission was 39.9°C. Extremity examination...

Keywords

Osteomyelitis Bone Scintigraphy Septic Arthritis Infectious Process Flucloxacilline 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Menno R. van den Bergh
    • 1
  • Irene A. M. Schiering
    • 1
  • Feikje M. Gubler
    • 2
  • J. Peter de Winter
    • 1
  1. 1.Department of PediatricsSpaarne HospitalHoofddorpThe Netherlands
  2. 2.Department of RadiologySpaarne HospitalHoofddorpThe Netherlands

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