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Published on: August 9, 2024
Group A Streptococcal Septic Hip Arthritis in a Child With Spastic Triplegic Cerebral Palsy
Supriya Singh1, Jacob Davidson, Timothy Carey
1From the Division of Paediatric Orthopedic Surgery, London Health Sciences Centre (Dr. Singh, Mr. Davidson, Dr. Carey); the Division of Infectious Diseases, Department Pediatrics, London Health Sciences Centre (Dr. Barton Forbes); and the Department of Orthopedic Surgery, Janeway Children's Health and Rehabilitation Centre (Dr. Cashin).
Abstract:
Reports of septic hip arthritis in children with cerebral palsy are exceedingly rare. This case report describes a 10-year-old boy with spastic triplegic cerebral palsy (Gross Motor Functional Classification System), who presented with fever and irritability. This case highlights the difficulties in diagnosing septic joint arthritis in patients with cerebral palsy who are nonverbal and have limited mobility. A high index of suspicion is necessary in this population when presented with fever and new limitations in mobility.
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