Pelvic osteomyelitis mimicking septic hip arthritis: a case report.
Peripelvic infections are rare, compared with the incidence of septic hip arthritis, but are serious, requiring emergent treatment. They often are not included in differential diagnoses for patients presenting with fever, pain, inability to bear weight, elevated white blood cell count, and elevated erythrocyte sedimentation rate. Most patients are treated initially as a septic hip arthritis. Early diagnosis and treatment are crucial to outcome in peripelvic abscess. Use of MRI may help to elucidate the correct diagnosis. Previously reported peripelvic infections included obturator internus and externus, and psoas, but to the best of our knowledge, this is first case report of infection of the ischiopubic ramus synchondrosis presenting as septic arthritis.
Takemoto
Richelle C
RC
Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY 10003, USA.
Strongwater
Allan M
AM
D000038:Abscess; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000175:diagnosis*; D002675:Child, Preschool; D003131:Combined Modality Therapy; D003646:Debridement; D003937:Diagnosis, Differential; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D007275:Injections, Intravenous; D008279:Magnetic Resonance Imaging; D008297:Male; D010019:Osteomyelitis / Q000175:diagnosis* / Q000628:therapy; D010068:Oxacillin / Q000627:therapeutic use; D010384:Pelvic Bones / Q000473:pathology* / Q000601:surgery; D011859:Radiography; D013203:Staphylococcal Infections / Q000175:diagnosis*; D013211:Staphylococcus aureus / Q000302:isolation & purification; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D010068:Oxacillin