Case Report of Iliac Osteomyelitis in A Child, Presenting as Septic Arthritis of the Hip

 

What to Learn from this Article?

Differentiation between pelvic osteomyelitis and hip septic arthritis in a child.


Case Report | Volume 4 | Issue 4 | JOCR Oct-Dec 2014 | Page 19-21 | Kocialkowski C, Ryan W, Davis N.  DOI: 10.13107/jocr.2250-0685.217


Authors: Kocialkowski C [1], Ryan W [2], Davis N [3]

[1] Clinical Fellow in Trauma and Orthopaedics, University Hospital of South Manchester, Manchester, United Kingdom.

[2] Consultant Orthopaedic Surgeon, Royal Bolton Hospital,  Bolton, United Kingdom.

[3] Consultant Orthopaedic Surgeon, Royal Manchester Children’s Hospital, Manchester, United Kingdom.

Address of Correspondence:

Dr. William Ryan. Consultant Orthopaedic Surgeon, Royal Bolton Hospital, Minerva Road, Bolton, Lancashire, BL4 0JR, United Kingdom. Email: william.ryan@boltonft.nhs.uk


Abstract

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.

Case Report: 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.

Keywords: Pelvic osteomyelitis; Iliac osteomyelitis; Hip septic arthritis.


How to Cite This Article: Kocialkowski C, Ryan W, Davis N. Case Report of Iliac Osteomyelitis in A Child, Presenting as Septic Arthritis of the Hip. Journal of Orthopaedic Case Reports 2014 Oct-Dec;4(4): 19-21. Available from: http://www.jocr.co.in/wp/2014/10/29/2250-0685-217-fulltext/

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