Elsevier

Clinical Radiology

Volume 52, Issue 10, October 1997, Pages 782-786
Clinical Radiology

Original Paper
Pelvic musculoskeletal infection in infants — Diagnostic difficulties and radiological features

https://doi.org/10.1016/S0009-9260(97)80160-2Get rights and content

Musculoskeletal infection involving the pelvis has rarely been reported in infants. When such infections involve the pelvic muscles they are generally believed to result from secondary spread from adjacent structures. We report five cases of primary pelvic musculoskeletal infection affecting infants < 1 year, all of which presented during a 1-year period. In two patients the infection appeared to arise primarily in muscle. Clinical features were generally non-specific and often misleading, mimicking hip (4/5) or vascular (3/5) pathology; as a result, diagnosis was delayed in four patients. Radiological investigation was required to make the diagnosis and delineate the extent of the lesion in all cases. Magnetic resonance imaging (MRI) was the most useful imaging technique, accurately identifying the infection and its extent in all cases in which it was used. However, plain films, ultrasound (US), scintigraphy and computed tomography (CT) were all useful in individual cases and have a role in the primary investigation of these difficult infections. The clinical presentation of pelvic musculoskeletal infection in infants and the role of the various radiological investigations in its diagnosis is discussed.

References (7)

  • KnudsenCJM et al.

    Neonatal osteomyelitis

    Journal of Bone and Joint Surgery

    (1990)
  • MokPM et al.

    Osteomyelitis in the neonate

    Radiology

    (1982)
  • FredriksenB et al.

    Acute osteomyelitis and septic arthritis in the neonate, risk factors and outcome

    European Journal of Pediatrics

    (1993)
There are more references available in the full text version of this article.

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