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Case Reports
. 2019 Sep 19;12(9):e228964.
doi: 10.1136/bcr-2018-228964.

An infective cause for the limping child

Irfan Jumabhoy  1 , Chukwudi Uzoho  2 , Vikram Desai  3
Affiliations
Case Reports

An infective cause for the limping child

Irfan Jumabhoy et al. BMJ Case Rep. .

Abstract

A 7-year-old girl presented with left hip pain and a limp, in the absence of any other systemic features, having recently been treated for a urinary tract infection. Examination revealed limited active hip movements on the left, with a tendency to weight bear on the contralateral side. Biochemical investigations were significant for raised inflammatory markers, and subsequent MRI imaging revealed osteomyelitis of the left pubis and ischium with an associated large soft tissue collection. Treatment was bimodal with surgical drainage and long-term antibiotics. The patient consequently recovered, without significant effect on either growth or mobility.

Keywords: bone and joint infections; developmental paediatrocs; orthopaedics.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Pelvic radiograph demonstrating periosteal changes of the left inferior pubic ramus.
Figure 2
Figure 2
MRI sequence demonstrating bone marrow oedema in the left pubis and ischium with an associated bi-loculated collection.
See this image and copyright information in PMC

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