De Silva Mawanane Hewa Aruna Devapriya, Liyanage Janath, Kulatunge Chanika Roshini, Dhanawardana Bangirallage
Department of Paediatrics, Faculty of Medicine, University of Ruhuna, Galle, Sri Lanka.
Teaching Hospital Karapitiya, Galle, Sri Lanka.
SAGE Open Med Case Rep. 2021 Sep 1;9:2050313X211044340. doi: 10.1177/2050313X211044340. eCollection 2021.
Obturator abscess is a rare condition in children which usually occurs commonly in tropical countries. Because of its rarity, vague symptomatology and a lack of focus about this condition, the diagnosis of obturator abscess is commonly delayed or missed. Hence, physicians should be familiar with this condition and have a high index of suspicion when a patient presents with fever, pain in the thigh, hip or abdomen and a limp on the affected side which are considered as the classic clinical triad of obturator abscess. Herein, we present a 6-year-old previously healthy Russian boy who was on holiday in Sri Lanka. He presented on the third day of the fever associated with pain in the right thigh and abdomen. This is the first reported case of an obturator externus muscle abscess due to methicillin-resistant in a European boy visiting a tropical country.
闭孔脓肿在儿童中是一种罕见病症，通常常见于热带国家。由于其罕见性、症状模糊以及对该病症缺乏关注，闭孔脓肿的诊断常常延迟或被漏诊。因此，当患者出现发热、大腿、髋部或腹部疼痛以及患侧跛行等症状时，医生应熟悉这种病症并保持高度怀疑，这些症状被视为闭孔脓肿的典型临床三联征。在此，我们介绍一名6岁的俄罗斯男孩，此前身体健康，正在斯里兰卡度假。他在发热第三天出现，伴有右大腿和腹部疼痛。这是首例报道的在热带国家度假的欧洲男孩因耐甲氧西林金黄色葡萄球菌引起的闭孔外肌脓肿病例。
