Location
Suwanee, GA
Start Date
6-5-2025 1:00 PM
End Date
6-5-2025 4:00 PM
Description
Introduction: Septic arthritis is a serious bacterial condition commonly affecting kids through hematogenous spread. It is frequently caused by organisms such as Staphylococcus Aureus and Kingella Kingae. The joint space of bones, such as the hips and knees of children, is a common location for septic arthritis to form. Monitoring the ESR and CRP are important in diagnosing and treating the infection. We present a rare case that highlights septic arthritis in a child that was caused by a stretching incident that was not evident due to normal lab values and was considered to be a muscle strain.
Case Report: A 10-year-old girl presents with a hip injury from stretching three days after experiencing upper respiratory symptoms. The child had been to the emergency room and physician's office but did not show any signs of septic arthritis. A couple of days later, the child presented three out of the four symptoms in the Kocher criteria, which led to a high suspicion of septic arthritis. The patient was then admitted into the hospital, and underwent a surgical incision & drainage, followed by administration of a PICC Line. The patient had to undergo rehabilitation services and is on her way to recovery.
Results: Successful treatment of the patient was obtained, and the patient is undergoing multiple forms of rehabilitation to regain normal function.
Conclusion: This case demonstrates an infection that was not suspected due to the injury and no clinical evidence of septic arthritis in the beginning. This case report is designed to bring awareness to how septic arthritis can present in different ways than may be expected. The rare nature of this case led to a delayed presentation of septic arthritis, which should be expected in children who experience any injuries in their musculoskeletal system and report joint pain following the injury.
Embargo Period
5-28-2025
Included in
Stretch-Induced Hip Injury Causing Septic Arthritis: A Case Report
Suwanee, GA
Introduction: Septic arthritis is a serious bacterial condition commonly affecting kids through hematogenous spread. It is frequently caused by organisms such as Staphylococcus Aureus and Kingella Kingae. The joint space of bones, such as the hips and knees of children, is a common location for septic arthritis to form. Monitoring the ESR and CRP are important in diagnosing and treating the infection. We present a rare case that highlights septic arthritis in a child that was caused by a stretching incident that was not evident due to normal lab values and was considered to be a muscle strain.
Case Report: A 10-year-old girl presents with a hip injury from stretching three days after experiencing upper respiratory symptoms. The child had been to the emergency room and physician's office but did not show any signs of septic arthritis. A couple of days later, the child presented three out of the four symptoms in the Kocher criteria, which led to a high suspicion of septic arthritis. The patient was then admitted into the hospital, and underwent a surgical incision & drainage, followed by administration of a PICC Line. The patient had to undergo rehabilitation services and is on her way to recovery.
Results: Successful treatment of the patient was obtained, and the patient is undergoing multiple forms of rehabilitation to regain normal function.
Conclusion: This case demonstrates an infection that was not suspected due to the injury and no clinical evidence of septic arthritis in the beginning. This case report is designed to bring awareness to how septic arthritis can present in different ways than may be expected. The rare nature of this case led to a delayed presentation of septic arthritis, which should be expected in children who experience any injuries in their musculoskeletal system and report joint pain following the injury.