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Pediatr Emerg Care. 2018 Dec;34(12):e236-e238. doi: 10.1097/PEC.0000000000000985.

Fever and Hip Pain: Not Always Due to a Septic Hip.

Abstract

Hip 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. This entity therefore has the potential for posing a diagnostic dilemma when physicians face a limping child with fever. We report a child who presented with fever and hip pain and has pyomyositis of the obturator internus muscle. This case underscores the need to consider the possibility of alternative etiologies in a limping child.

PMID:
28257312
DOI:
10.1097/PEC.0000000000000985
[Indexed for MEDLINE]

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