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Miscellanea
Images in paediatrics
Obturator abscess in children: a delayed diagnosis
  1. Osama Anwaar1,2,
  2. Maria Carrillo3,
  3. Steven B Welch1,
  4. Vijay Iyer1,2
  1. 1 Paediatrics Department, Birmingham Heartlands Hospital, Birmingham, UK
  2. 2 Paediatric, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
  3. 3 Radiology Department, Birmingham Heartlands Hospital, Birmingham, West Midlands, UK
  1. Correspondence to Dr Osama Anwaar, Department of Paediatrics, Birmingham Heartlands Hospital, Birmingham B9 5SS, UK; osamaanwaar786{at}gmail.com

https://doi.org/10.1136/archdischild-2020-321132

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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 …

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    Footnotes

    • 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.