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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...

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Detalles Bibliográficos
Autores principales: Kocialkowski, Cezary, Ryan, William, Davis, Naomi
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
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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.
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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
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