Hartshorn Stuart, Davies Karen, Anderson Janet M
Emergency Department, Birmingham Children's Hospital, Birmingham, UK.
Pediatr Emerg Care. 2009 May;25(5):350-1. doi: 10.1097/PEC.0b013e3181a34968.
Septic arthritis of the pubic symphysis is a rare condition but one which has typical clinical characteristics and known risk factors. It should be considered in the differential diagnosis of all children presenting with groin or hip pain that is exacerbated when walking. Clinical suspicion should prompt magnetic resonance imaging. We report such a case in an 11-year-old boy, discuss current knowledge of its epidemiology and microbiology, and outline recommended practice for investigation and treatment.
耻骨联合化脓性关节炎是一种罕见疾病,但具有典型的临床特征和已知的危险因素。对于所有出现腹股沟或髋部疼痛且行走时加重的儿童,在鉴别诊断中均应考虑该病。临床怀疑应促使进行磁共振成像检查。我们报告了一名11岁男孩的此类病例,讨论了其流行病学和微生物学的现有知识,并概述了推荐的检查和治疗方法。