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Chronic Recurrent Multifocal Osteomyelitis with Non-Contiguous Involvement of the Spine: A Case Report and Review of Literature

Case Report | Volume 12 | Issue 1 | January-April 2026 | Page: 12-15 | S Kailash, Vijaysriram DOI- https://doi.org/10.13107/ijpo.2026.v12.i01.258 Open Access License: CC BY-NC 4.0 Copyright Statement: Copyright © 2026; The Author(s). Submitted: 30/09/2025; Reviewed: 21/10/2025; Accepted: 09/12/2025; Published: 10/02/2026 Authors: S Kailash MS Ortho [1], Vijaysriram MS Ortho [1] [1] Department of Paediatric […]

Pyomyositis of Iliacus in an Adolescent: A Case Report

Case Report | Volume 12 | Issue 1 | January-April 2026 | Page: 8-11 | Kushagra Vashisht, Sudhir Rana, Parmanand Gupta DOI- https://doi.org/10.13107/ijpo.2026.v12.i01.256 Open Access License: CC BY-NC 4.0 Copyright Statement: Copyright © 2026; The Author(s). Submitted: 17/10/2025; Reviewed: 06/11/2025; Accepted: 08/01/2026; Published: 10/02/2026 Authors: Kushagra Vashisht MS Ortho [1], Sudhir Rana MS Ortho [1], […]

Chronic Recurrent Multifocal Osteomyelitis with Non-Contiguous Involvement of the Spine: A Case Report and Review of Literature

Pyomyositis of Iliacus in an Adolescent: A Case Report

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Chronic Recurrent Multifocal Osteomyelitis with Non-Contiguous Involvement of the Spine: A Case Report and Review of Literature

DOI- https://doi.org/10.13107/ijpo.2026.v12.i01.258

Open Access License: CC BY-NC 4.0

Submitted: 30/09/2025; Reviewed: 21/10/2025; Accepted: 09/12/2025; Published: 10/02/2026

Authors: S Kailash MS Ortho [1], Vijaysriram MS Ortho [1]

[1] Department of Paediatric Orthopaedics, Kanchi Kamakoti Child trust Hospital, Chennai, Tamil Nadu, India.

Address of Correspondence

Dr. S.Kailash,
Senior Consultant, Department of Paediatric Orthopaedics, Kanchi Kamakoti Child trust Hospital, Chennai, Tamil Nadu, India.
E-mail: kailasdoc2989@gmail.com

Abstract

Background: Chronic Recurrent Multifocal Osteomyelitis (CRMO) is a chronic non-bacterial osteomyelitis that affects children and adolescents.
Case Presentation: A 9-year-old previously healthy boy initially presented with vague abdominal pain, for which he was investigated but no active intervention was undertaken. There was increasing pain and deformity over the back noted a week later.
CT thorax was performed to identify the lesion in the rib and an open biopsy was done (resection of diseased rib and transverse process). Biopsy report was suggestive of chronic non-infective osteomyelitis (CRMO). A whole-body magnetic resonance imaging (MRI) showed an additional lesion in the right acetabulum. There was significant relief of symptoms with oral naproxen and intravenous Zoledronate.
At 15 years of age, there was no pain or deformity in the spine and vertebral lesion had reconstituted. The patient was asymptomatic.
Conclusion: CRMO is an under-diagnosed condition. A delay in the diagnosis can result in morbidity in the form of prolonged antibiotic therapy and multiple invasive investigations (biopsy). In most cases, it is a diagnosis of exclusion. This case of a boy with CRMO with main involvement of the spine is presented for its rarity.
Keywords: CRMO, Spine, Zolendronate, Osteomyelitis.

References

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How to Cite this Article: Kailash S, Vijaysriram. Chronic Recurrent Multifocal Osteomyelitis with Non-Contiguous Involvement of the Spine: A Case Report and Review of Literature. International Journal of Paediatric Orthopaedics. January-April 2026; 12(1): 12-15.

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Pyomyositis of Iliacus in an Adolescent: A Case Report

DOI- https://doi.org/10.13107/ijpo.2026.v12.i01.256

Open Access License: CC BY-NC 4.0

Submitted: 17/10/2025; Reviewed: 06/11/2025; Accepted: 08/01/2026; Published: 10/02/2026

Authors: Kushagra Vashisht MS Ortho [1], Sudhir Rana MS Ortho [1], Parmanand Gupta MS Ortho [1]

[1] Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India

Address of Correspondence

Dr. Parmanand Gupta,
Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India
E-mail: drpgupta123@gmail.com

Abstract

Pyomyositis of the iliacus muscle is rare in children and adolescents. It has an overlapping presentation with septic arthritis of the hip or spondylodiscitis. A 15-year-old boy presented with progressive left hip pain, fever, and limp. T2 weighted MRI images revealed hyperintensities in the iliacus and piriformis muscles. Open surgical drainage was performed with postoperative antibiotics. Hip arthrotomy was not carried out. Complete healing with resolution of symptoms occurred at 2 weeks. This case highlights the importance of prompt imaging and surgical intervention in managing rare musculoskeletal infections, as well as the need for clinicians to maintain a high suspicion for pyomyositis adjacent to the hip joint and avoid unnecessary arthrotomy.
Keywords: Pyomyositis, Iliacus, Hip, Case report

References

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How to Cite this Article: Vashisht K, Rana S, Gupta P. Pyomyositis of Iliacus in an Adolescent: A Case Report. International Journal of Paediatric Orthopaedics. January-April 2026; 12(1): 08-11.

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