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Adolescent Hip Pain Due to Iliopsoas Abscess.
Cureus
October 2024
Department of Pediatrics, Unidade Local de Saúde do Alto Ave, Guimarães, PRT.
Hip pain in children and adolescents poses a diagnostic challenge due to various underlying causes, ranging from benign to severe conditions. Presented here is the case of an otherwise healthy 14-year-old boy who arrived at the emergency department with a two-day history of left hip pain, limping, fever, anorexia, and vomiting. Upon physical examination, tenderness was noted upon palpation of the left sacroiliac joint and with mobilization of the left lower limb.
View Article and Find Full Text PDFExtensive pyomyositis secondary to paronychia-related MRSA infection: A case report.
Medicine (Baltimore)
January 2022
School of Medicine, National Yang-Ming University, Taipei, Taiwan.
Rationale: Pyomyositis is characterized by an insidious and multifactorial inflammatory process, which is often caused by hematogenous pathogen. Predisposing risk factors include immunodeficiency, diabetes, malignancy, or trauma. The spectrum of clinical presentation depends on disease severity, typically presented by fever and hip pain.
View Article and Find Full Text PDFA toddler with a persisting limp after a minor trauma.
Arch Dis Child Educ Pract Ed
June 2021
Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.
A 3-year-old toddler was admitted for a 5-day history of worsening painful limping on his left leg. History was remarkable only for a minor trauma 2 days before the onset of symptoms; the boy fell on his buttocks but was walking normally in the following days. No fever was reported.
View Article and Find Full Text PDFThe Limping Child, a Rare Differential: Pyomyositis of the Iliacus Muscle -A Case Report.
J Orthop Case Rep
January 2019
Department of Trauma and Orthopaedic, Royal Blackburn Hospital, Blackburn, BB2 3HH, England, United Kingdom.
Introduction: The presentation of an unwell child with a short history of a limp is not an uncommon referral to the orthopaedic on-call team. In the acute setting, this is most commonly secondary to trauma or infection. An unusual differential that clinicians should be aware of is pyomyositis of the muscles around the hip joint.
View Article and Find Full Text PDFHip pain in febrile children always raises concern for septic arthritis. Pyomyositis is a rare cause of hip pain. Because it involves muscles around the joint, it may have a similar presentation as a septic hip.
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