Cargando…
Case Report of Iliac Osteomyelitis in A Child, Presenting as Septic Arthritis of the Hip
INTRODUCTION: Osteomyelitis of the pelvis can be a difficult condition to diagnose and can present in a number of different ways. The ilium is the bone most frequently affected and staphylococcus aureus is the organism most commonly responsible. CASEREPORT: This case report describes a six year old...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Indian Orthopaedic Research Group
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4719262/ https://www.ncbi.nlm.nih.gov/pubmed/27298994 http://dx.doi.org/10.13107/jocr.2250-0685.217 |
_version_ | 1782410904022810624 |
---|---|
author | Kocialkowski, Cezary Ryan, William Davis, Naomi |
author_facet | Kocialkowski, Cezary Ryan, William Davis, Naomi |
author_sort | Kocialkowski, Cezary |
collection | PubMed |
description | INTRODUCTION: Osteomyelitis of the pelvis can be a difficult condition to diagnose and can present in a number of different ways. The ilium is the bone most frequently affected and staphylococcus aureus is the organism most commonly responsible. CASEREPORT: This case report describes a six year old girl, who presented with right sided hip pain, fevers and altered weight bearing. She was initially diagnosed with septic arthritis of the hip and underwent open joint washout. A magnet resonance imaging scan was subsequently performed which confirmed the diagnosis of iliac osteomyelitis with abscesses of the iliopsoas and iliacus. The patient underwent further operative debridement and required prolonged antibiotic therapy but she eventually made a full recovery. CONCLUSION: Pelvic osteomyelitis can present very similarly to hip septic arthritis and early magnetic resonance imaging is beneficial in diagnosing the condition. Surgical intervention can be required if there is abscess formation, although recovery is usually very good and the incidence of long term complications is rare. |
format | Online Article Text |
id | pubmed-4719262 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Indian Orthopaedic Research Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-47192622016-06-13 Case Report of Iliac Osteomyelitis in A Child, Presenting as Septic Arthritis of the Hip Kocialkowski, Cezary Ryan, William Davis, Naomi J Orthop Case Reports Case Report INTRODUCTION: Osteomyelitis of the pelvis can be a difficult condition to diagnose and can present in a number of different ways. The ilium is the bone most frequently affected and staphylococcus aureus is the organism most commonly responsible. CASEREPORT: This case report describes a six year old girl, who presented with right sided hip pain, fevers and altered weight bearing. She was initially diagnosed with septic arthritis of the hip and underwent open joint washout. A magnet resonance imaging scan was subsequently performed which confirmed the diagnosis of iliac osteomyelitis with abscesses of the iliopsoas and iliacus. The patient underwent further operative debridement and required prolonged antibiotic therapy but she eventually made a full recovery. CONCLUSION: Pelvic osteomyelitis can present very similarly to hip septic arthritis and early magnetic resonance imaging is beneficial in diagnosing the condition. Surgical intervention can be required if there is abscess formation, although recovery is usually very good and the incidence of long term complications is rare. Indian Orthopaedic Research Group 2014 /pmc/articles/PMC4719262/ /pubmed/27298994 http://dx.doi.org/10.13107/jocr.2250-0685.217 Text en Copyright: © Indian Orthopaedic Research Group http://creativecommons.org/licenses/by-nc-sa/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc-sa/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Kocialkowski, Cezary Ryan, William Davis, Naomi Case Report of Iliac Osteomyelitis in A Child, Presenting as Septic Arthritis of the Hip |
title | Case Report of Iliac Osteomyelitis in A Child, Presenting as Septic Arthritis of the Hip |
title_full | Case Report of Iliac Osteomyelitis in A Child, Presenting as Septic Arthritis of the Hip |
title_fullStr | Case Report of Iliac Osteomyelitis in A Child, Presenting as Septic Arthritis of the Hip |
title_full_unstemmed | Case Report of Iliac Osteomyelitis in A Child, Presenting as Septic Arthritis of the Hip |
title_short | Case Report of Iliac Osteomyelitis in A Child, Presenting as Septic Arthritis of the Hip |
title_sort | case report of iliac osteomyelitis in a child, presenting as septic arthritis of the hip |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4719262/ https://www.ncbi.nlm.nih.gov/pubmed/27298994 http://dx.doi.org/10.13107/jocr.2250-0685.217 |
work_keys_str_mv | AT kocialkowskicezary casereportofiliacosteomyelitisinachildpresentingassepticarthritisofthehip AT ryanwilliam casereportofiliacosteomyelitisinachildpresentingassepticarthritisofthehip AT davisnaomi casereportofiliacosteomyelitisinachildpresentingassepticarthritisofthehip |