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- John Wong-Chung, Mohammed Bagali, and Sangam Kaneker.
- Departments of Orthopaedic Surgery and Radiology, Salmaniya Medical Center, Bahrain. johnwong@doctors.org.uk
- J Pediatr Orthop B. 2004 May 1;13(3):211-3.
AbstractThe incidence of pyomyositis is on the increase worldwide among children and adults. When it involves muscles about the hip it needs to be differentiated from septic arthritis and transient synovitis among other diseases. Lack of awareness of the condition frequently leads to delay in correct diagnosis. We present one case of pyomyositis of the gluteus maximus and another rarer case of obturator internus pyomyositis that posed difficulties in initial diagnosis. While magnetic resonance imaging remains the imaging method of choice, we highlight important physical signs in the examination of patients presenting with a painful hip, which should raise suspicion of pyomyositis.
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