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[Two children with hip pain and fever]
A N Olivieri1, A Sica, F Cioce
1Dipartimento di Pediatria "E Fede", Seconda Universita degli Studi di Napoli. alma.olivieri@unina2.it
Summary
Obturator internus muscle myositis is a rare condition affecting children and adolescents, presenting with fever, hip pain, and limping. Staphylococcus aureus is the common cause, and imaging is crucial for diagnosis.
Area of Science:
- Pediatric rheumatology
- Infectious diseases
- Musculoskeletal imaging
Background:
- Myositis of the obturator internus muscle is an uncommon condition.
- It typically affects pediatric and adolescent populations.
- Clinical presentation includes fever, hip pain, and limping.
Observation:
- Staphylococcus aureus is the most frequent etiologic agent.
- Diagnostic imaging techniques are essential for identifying the condition.
- This report details two adolescent cases.
Findings:
- Confirmed cases of obturator internus myositis in adolescents.
- Highlighted the role of Staphylococcus aureus as a common pathogen.
- Demonstrated the importance of advanced imaging in diagnosis.
Implications:
- Emphasizes the need for considering obturator internus myositis in pediatric hip pain differential diagnoses.
- Suggests prompt diagnostic imaging for early detection and treatment.
- Contributes to understanding this rare pediatric musculoskeletal infection.
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