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Fever and Hip Pain

Not Always Due to a Septic Hip

Waseem, Muhammad, MD, MS*†; Kumari, Divya, MD*; Toledano, Talya, MD*

doi: 10.1097/PEC.0000000000000985
Illustrative Cases

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.

From the *Lincoln Medical & Mental Health Center, Bronx, NY; and

St George’s University, Grenada, West Indies.

Disclosure: The authors declare no conflict of interest.

Reprints: Muhammad Waseem, MD, MS, Lincoln Medical & Mental Health Center, 234 East 149th St, Bronx, NY 10451 (e-mail:

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