Abstract
A 9-year-old boy with thigh pain, high fever, hyperleukocytosis and positive blood cultures forStaphylococcus aureus had a left obturator internus phlegmon. Lack of evidence for hip infection or osteomyelitis in a child with thigh pain, high fever and hyperleukocytosis points to a possible infection of pelvic structures. Abscess or phlegmon of the obturator internus muscle is a very rare condition. The most frequent agent isStaphylococcus aureus. CT of the pelvis is the procedure of choice to show diffuse swelling of the muscle or collection of pus. Conservative treatment with adequate antibiotics is the treatment of choice.
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References
Cordin F, Stamler C, Mills J (1983) Pyogenic psoas abscesses: non invasive techniques and review of the literature. Rev Infect Dis 5:1003–1011
Firor HV (1972) Acute psoas abscess in children. Clin Pediatr 11:228–231
Hakim A, Ayoub E (1993) Obturator internus abscess. Pediatr Infect Dis J 12:166–168
Souid AK, Sadowitz PD, Weiner L, Dubansky AS (1993) Obturator internus muscle abscess: a case report and review of the literature. Am J Dis Child 147:1278–1279
White BD (1991) Red eyes and red rash with fever: an uncommon initial presentation for staphylococcal obturator abscess with adjacent ischial osteomyelitis J Am Osttopath Assoc 91:807–812
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Godfroid, N., Stalens, J.P. Thigh pain due to obturator internus phlegmon: A diagnostic challenge. Eur J Pediatr 154, 273–274 (1995). https://doi.org/10.1007/BF01957360
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DOI: https://doi.org/10.1007/BF01957360