The case report is presented of a 14-year-old boy with persistent right hip and groin pain. After failing to respond to conventional management, the patient was admitted and investigated. He had a fever and raised inflammatory markers. MRI of the pelvis revealed pyomyositis of the right adductor compartment extending into the pelvis. Pyomyositis should be considered in a patient with pain disproportionate to the physical examination findings.
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