Fever and Hip Pain Not Always Due to a Septic HipWaseem, Muhammad, MD, MS*†; Kumari, Divya, MD*; Toledano, Talya, MD*Pediatric Emergency Care: December 2018 - Volume 34 - Issue 12 - p e236–e238 doi: 10.1097/PEC.0000000000000985 Illustrative Cases Buy SDC Abstract Author InformationAuthors Article MetricsMetrics 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: email@example.com). Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.