Obturator internus XXXX in a young adult: a case report and review of the literature.

@entity1 @entity5442 @entity115 @entity5414 @entity794 @entity603 @entity281 @entity158 @entity869 @entity5084 @entity6735
INTRODUCTION: There has been a recent increase in the incidence of @entity5442 worldwide. To this date, @entity5442 has been described almost exclusively in @entity1 and adolescents. In most cases the causative agents are Gram-positive bacteria. When it involves muscles around the hip, other differential diagnoses such as @entity5414 and @entity603 need to be excluded amongst others. CASE PRESENTATION: We present the case of a 16 year old Caucasian male who suffered from @entity6735 of his left obturator internus muscle. He was pyrexial at 41 degrees C with @entity5084 and severe @entity158 , whilst range of motion of his left hip was severely limited. Tenderness over the left pubic bone was significant. After clinical examination and relevant laboratory investigations, it was decided to treat him conservatively with intravenous antibiotics. Blood cultures grew @entity794 resistant to @entity115 and @entity869 . The @entity1 was discharged fifteen days later. At the time of discharge, he was symptom-free. CONCLUSION: This form of @entity6735 is a rare @entity281 , which may be difficult to diagnose and can easily be missed. Therefore, physicians should familiarise themselves with this condition and consider it as a possible differential diagnosis in @entity1 presenting with an acutely @entity158 hip.
