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Obturator internus muscle abscess in children.

S L Orlicek1, J S Abramson, C R Woods

  • 1Department of Pediatrics (Infectious Diseases), Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.

Journal of Pediatric Orthopedics
|October 25, 2001
PubMed
Summary

This study reviews four pediatric obturator internus muscle (OIM) abscess cases. Most patients recovered with antibiotics or needle aspiration, suggesting less invasive treatment options for OIM pyomyositis.

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Area of Science:

  • Pediatric Infectious Diseases
  • Musculoskeletal Infections
  • Diagnostic Imaging

Background:

  • Obturator internus muscle (OIM) abscess is a rare pediatric condition.
  • Early diagnosis and appropriate treatment are crucial for favorable outcomes.

Observation:

  • Four pediatric cases of OIM abscess were identified through retrospective chart review.
  • Common symptoms included fever, limp, and hip pain.
  • Radiological imaging (CT/MRI) confirmed the diagnosis in all cases.

Findings:

  • Staphylococcus aureus was the causative agent in all four patients.
  • Three patients recovered with antimicrobial therapy and/or needle aspiration.
  • One patient required surgical drainage for OIM abscess recovery.

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Implications:

  • OIM pyomyositis presentation mimics other pelvic and hip infections.
  • Non-surgical management, including needle aspiration, is often effective for OIM abscess.
  • Prompt diagnosis via imaging and targeted antimicrobial therapy are key in pediatric OIM abscess cases.