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A 12-year-old girl, originally from Gambia, presented with 12 months’ history of pain in her left hip. She described a steady deterioration in mobility, intermittent fever and weight loss following a blunt trauma injury, which triggered the onset of pain.
She required crutches to mobilise and had fixed flexion deformity of the left hip. There was atrophy of the left thigh and calf muscles. Swelling was seen over the left sacroiliac joint and she was tender over the left pelvic and inguinal regions.
Contributors KH sought consent from the patient and her father and wrote the main body of the text. JS assisted with selection of the images for submission and wrote the image descriptions. ND reviewed and edited the final document prior to submission.
Competing interests None declared.
Patient consent Consent obtained from the parent/guardian.
Provenance and peer review Not commissioned; externally peer reviewed.