Progressive hip pain in a middle-aged man

Pavlos Drakontaeidis, Antonia Bintoudi, Christos Tsantiridis


A 54-year-old male was admitted to our hospital with progressive onset of pain and swelling in his left hip and proximal thigh. On physical examination, he had muscle weakness, positive Lasègue sign and positive FABER/FADIR test on his left lower limb. Laboratory tests showed leukocytosis and elevated C-reactive protein. The patient was on treatment with methylprednisolone for at least one month due to sudden hearing loss in his left ear. He also had a positive history of chronic alcohol abuse. There was no history of recent trauma or surgery. Pelvic radiograph, CT and MRI were performed.



emphysematous osteomyelitis; anaerobes; Staphylococcus aureus

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