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A previously healthy 10-year-old girl presented with 3 days of fever, right groin pain and a limp. She had been active on a new bicycle in the last few days without a definite history of trauma. She had mild perineal tenderness; musculoskeletal and gynaecological examinations were otherwise normal.
Blood tests showed a C reactive protein of 162 mg/L without leucocytosis. Pelvic ultrasound was unremarkable and blood culture was sterile. She was treated with intravenous ceftriaxone, but her fever …
Contributors OA: involved in the management of the patient as well as in drafting and literature review of the report. MC: reported the MRI and worked on selecting the appropriate images for the report. VI: managed and diagnosed the patient. SBW: main consultant involved in the management of the patient, and assisted with drafting, gaining parental consent and literature review of the report.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
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