Introduction: Acute hematogenous osteomyelitis may have significant morbidity and mortality if undiagnosed. Because it is uncommon in developed countries and has variable presentations, the patient may undergo several healthcare visits prior to diagnosis.
\nCase Report: We report the case of a 9-year-old male who presented with hip and knee pain with associated fevers and was found to have osteomyelitis and intraosseous abscess in the diaphysis of the right femur. He had multiple emergency department and outpatient visits before the ultimate diagnosis was made. He was treated with irrigation and debridement in addition to intravenous antibiotics.
\nConclusion: Pediatric acute hematogenous osteomyelitis can have subtle presentations, and this case illustrates some of the difficulties in making the diagnosis. This condition should be considered in the workup of a child with undifferentiated fever, pain, or decrease in mobility.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"osteomyelitis"},{"word":"intraosseous abscess"},{"word":"pediatric"},{"word":"case report"},{"word":"Infectious disease"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9vs871p1","frozenauthors":[{"first_name":"Meghan","middle_name":"","last_name":"Chamberlain","name_suffix":"","institution":"Cooper University Hospital, Department of Emergency Medicine, Camden, New Jersey","department":"Emergency Department"},{"first_name":"Simon","middle_name":"","last_name":"Sarkisian","name_suffix":"","institution":"Cooper University Hospital, Department of Emergency Medicine, Camden, New Jersey","department":""}],"date_submitted":"2023-11-17T12:10:36.982000-08:00","date_accepted":"2024-01-22T10:07:29.976000-08:00","date_published":"2024-06-03T06:00:00-07:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/6568/galley/10897/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/6568/galley/10109/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/6568/galley/10897/download/"}]}