title: Hip pain and fever: when it's not a septic joint, what's next?
abstract: Hip pain and fever in children include a broad differential. Most concerning is the possible diagnosis of a septic joint, which carries significant morbidity. We describe the case of a 13-year-old boy with fever and hip pain who was referred to the emergency department with concern for septic hip. The etiology was later discovered to be pyomyositis from methicillin-resistant Staphylococcus aureus. In areas with high prevalence of community-acquired methicillin-resistant Staphylococcus aureus, it is important for physicians to be aware of this rare, but potentially complicated condition.
authors.affiliation: From the Department of Emergency Medicine, Mount Sinai School of Medicine, New York, NY.
authors.forename: Amy
authors.initials: A
authors.lastname: Leuthauser
authors.forename: Audrey
authors.initials: A
authors.lastname: Paul
mesh_terms: D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D018771:Arthralgia; D001170:Arthritis, Infectious / Q000188:drug therapy / Q000382:microbiology*; D017576:Daptomycin / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005334:Fever / Q000188:drug therapy / Q000382:microbiology*; D006621:Hip Joint / Q000382:microbiology* / Q000473:pathology; D006801:Humans; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D010146:Pain / Q000188:drug therapy / Q000382:microbiology*; D052880:Pyomyositis / Q000188:drug therapy / Q000382:microbiology*; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000382:microbiology*
chemical_list: D000900:Anti-Bacterial Agents; D017576:Daptomycin