[Uncommon localization of osteomyelitis].
Group A beta-hemolytic streptococcus (GAS) causes almost 10% of acute hematogenous osteomyelitis (AHOM). These entities are frequently located in long bones (femur, tibia and humerus), and only 6-8% of all AHOM are located in the pelvis. This uncommon localization delays diagnosis and can lead to inappropriate management, with negative effects on outcomes. We present the case of a 6-year-old boy with high fever, pain in the right hip and difficulty in walking due to pelvic AHOM and septic shock caused by GAS. We also provide a review of the literature.
Díaz Ruiz
J
J
Servicio de Pediatría, Hospital General de Yagüe, Burgos, España. juandiazruiz@eresmos.com
del Blanco Gómez
I
I
Blanco Barrio
A
A
Huidobro Labarga
B
B
Merino Arribas
J M
JM
D002648:Child; D006621:Hip Joint; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000382:microbiology*; D013290:Streptococcal Infections; D013297:Streptococcus pyogenes