title: Fever and Hip Pain: Not Always Due to a Septic Hip.
abstract: Hip pain in febrile children always raises concern for septic arthritis. Pyomyositis is a rare cause of hip pain. Because it involves muscles around the joint, it may have a similar presentation as a septic hip. This entity therefore has the potential for posing a diagnostic dilemma when physicians face a limping child with fever. We report a child who presented with fever and hip pain and has pyomyositis of the obturator internus muscle. This case underscores the need to consider the possibility of alternative etiologies in a limping child.
authors.forename: Muhammad
authors.initials: M
authors.lastname: Waseem
authors.forename: Divya
authors.initials: D
authors.lastname: Kumari
authors.forename: Talya
authors.initials: T
authors.lastname: Toledano
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D018771:Arthralgia / Q000209:etiology; D001170:Arthritis, Infectious / Q000175:diagnosis*; D002648:Child; D003937:Diagnosis, Differential; D004322:Drainage / Q000379:methods; D005334:Fever / Q000209:etiology; D006621:Hip Joint / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification; D018482:Muscle, Skeletal / Q000473:pathology; D052880:Pyomyositis / Q000175:diagnosis* / Q000628:therapy; D013203:Staphylococcal Infections / Q000150:complications / Q000175:diagnosis* / Q000628:therapy
chemical_list: D000900:Anti-Bacterial Agents