Full resolution of subacute acetabular osteomyelitis in an 1
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Subacute acetabular osteomyelitis is uncommon and often misdiagnosed due to ill-defined symptomology and indolent disease course. An afebrile 11-year-old boy represented with 4 weeks atraumatic limp and increasingly severe right hip pain previously believed to be transient synovitis. Examination revealed hip tenderness and reduced mobility. X-rays showed loss of bone density in the proximal femur and a visible joint effusion. T2-weighted magnetic resonance imaging demonstrated the regions of high signal superior to the triradiate cartilage, widening of the cartilage space and a sympathetic effusion, consistent with acetabular osteomyelitis. Six weeks following antibiotic therapy, the pain subsided and normal hip mobility was achieved. Review magnetic resonance scan confirmed clinical findings with reduced bone marrow edema, surrounding swelling and hip effusion. Clinical resolution was confirmed 8 weeks post presentation.

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