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Case report
An infective cause for the limping child
  1. Irfan Jumabhoy1,
  2. Chukwudi Uzoho2 and
  3. Vikram Desai3
  1. 1 Plastic Surgery, Nottingham University Hospitals NHS Trust, Nottingham, UK
  2. 2 Orthopaedic Surgery, King’s Mill Hospital, Sutton-in-Ashfield, Nottinghamshire, UK
  3. 3 Orthopaedics, King’s Mill Hospital, Sutton-in-Ashfield, Nottinghamshire, UK
  1. Correspondence to Irfan Jumabhoy, irfan.jumabhoy{at}nhs.net

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.

  • developmental paediatrocs
  • orthopaedics
  • bone and joint infections
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Footnotes

  • Contributors All authors contributed equally to the conception and design of the case report. IJ was the principle author, with CU and VD contributing towards editing and preparation of the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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