Lab Studies:
WBC: 10,000
<br>ESR: 76
<br>CRP: 2.78
<br>Blood Cultures- No growth
Other Studies:
X-ray Hips bilateral Frog leg <a href="CaseStudyImages/CS1ARealPainintheBut-713.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> : No bony or soft tissue abnormally evident on these oblique views. Femoral heads symmetric in size and density. No destructive or sclerotic lesions.
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<br>MRI Pelvis W/O: Left sacroiliac joint septic arthritis with adjacent osteomyelitis. Significant soft tissue inflammation including several fluid collections compatible with abscesses in the region of/behind the iliopsoas musculature and also in left pelvic sidewall <a href="CaseStudyImages/CS2CS1ARealPaininthe-713.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> , <a href="CaseStudyImages/CS3CS2CS1ARealPainin-713.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> .
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<br>Culture from CT guided abscess aspiration: methicillin resistant staph aureus
Consultations:
Infectious Disease
<br>Interventional Radiology
Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.