{"id":"https://openalex.org/W7203481468","doi":"https://doi.org/10.1016/j.radcr.2026.07.052","title":"Acute sacral osteomyelitis mimicking hip pathology in a child: A diagnostic challenge","display_name":"Acute sacral osteomyelitis mimicking hip pathology in a child: A diagnostic challenge","publication_year":2026,"publication_date":"2026-08-14","ids":{"openalex":"https://openalex.org/W7203481468","doi":"https://doi.org/10.1016/j.radcr.2026.07.052","pmid":"https://pubmed.ncbi.nlm.nih.gov/42633287","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13499469"},"language":"en","primary_location":{"id":"doi:10.1016/j.radcr.2026.07.052","doi":"https://doi.org/10.1016/j.radcr.2026.07.052","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.radcr.2026.07.052","pdf_url":null,"source":{"id":"https://openalex.org/S190549722","display_name":"Radiology Case Reports","issn_l":"1930-0433","issn":["1930-0433"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Radiology Case Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.radcr.2026.07.052","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5137679936","display_name":"Ayoub Boutahar","orcid":"https://orcid.org/0000-0002-5974-224X","observed_orcids":["https://orcid.org/0000-0002-5974-224X"]},"institutions":[{"id":"https://openalex.org/I240042149","display_name":"Abdelmalek Essa\u00e2di University","ror":"https://ror.org/03c4shz64","country_code":"MA","type":"education","lineage":["https://openalex.org/I240042149"]}],"countries":["MA"],"is_corresponding":true,"raw_author_name":"Ayoub Boutahar","raw_affiliation_strings":["Department of Pediatric Surgery, The University Hospital Center Mohammed VI, Tangier, Morocco","Faculty of Medicine and Pharmacy, University Abdelmalek Essaadi, Tangier, Morocco"],"raw_orcid":"https://orcid.org/0000-0002-5974-224X","affiliations":[{"raw_affiliation_string":"Department of Pediatric Surgery, The University Hospital Center Mohammed VI, Tangier, Morocco","institution_ids":[]},{"raw_affiliation_string":"Faculty of Medicine and Pharmacy, University Abdelmalek Essaadi, Tangier, Morocco","institution_ids":["https://openalex.org/I240042149"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5138575406","display_name":"Hind Abou Eljaoud","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I240042149","display_name":"Abdelmalek Essa\u00e2di University","ror":"https://ror.org/03c4shz64","country_code":"MA","type":"education","lineage":["https://openalex.org/I240042149"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Hind Abou Eljaoud","raw_affiliation_strings":["Department of Pediatric Surgery, The University Hospital Center Mohammed VI, Tangier, Morocco","Faculty of Medicine and Pharmacy, University Abdelmalek Essaadi, Tangier, Morocco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatric Surgery, The University Hospital Center Mohammed VI, Tangier, Morocco","institution_ids":[]},{"raw_affiliation_string":"Faculty of Medicine and Pharmacy, University Abdelmalek Essaadi, Tangier, Morocco","institution_ids":["https://openalex.org/I240042149"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5115042437","display_name":"Bentayeb Tayeb","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I240042149","display_name":"Abdelmalek Essa\u00e2di University","ror":"https://ror.org/03c4shz64","country_code":"MA","type":"education","lineage":["https://openalex.org/I240042149"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Tayeb Bentayeb","raw_affiliation_strings":["Department of Pediatric Surgery, The University Hospital Center Mohammed VI, Tangier, Morocco","Faculty of Medicine and Pharmacy, University Abdelmalek Essaadi, Tangier, Morocco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatric Surgery, The University Hospital Center Mohammed VI, Tangier, Morocco","institution_ids":[]},{"raw_affiliation_string":"Faculty of Medicine and Pharmacy, University Abdelmalek Essaadi, Tangier, Morocco","institution_ids":["https://openalex.org/I240042149"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5108416003","display_name":"Lamiae Chater","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I240042149","display_name":"Abdelmalek Essa\u00e2di University","ror":"https://ror.org/03c4shz64","country_code":"MA","type":"education","lineage":["https://openalex.org/I240042149"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Lamiae Chater","raw_affiliation_strings":["Department of Pediatric Surgery, The University Hospital Center Mohammed VI, Tangier, Morocco","Faculty of Medicine and Pharmacy, University Abdelmalek Essaadi, Tangier, Morocco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatric Surgery, The University Hospital Center Mohammed VI, Tangier, Morocco","institution_ids":[]},{"raw_affiliation_string":"Faculty of Medicine and Pharmacy, University Abdelmalek Essaadi, Tangier, Morocco","institution_ids":["https://openalex.org/I240042149"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5137679936"],"corresponding_institution_ids":["https://openalex.org/I240042149"],"apc_list":{"value":600,"currency":"USD","value_usd":600},"apc_paid":{"value":600,"currency":"USD","value_usd":600},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.58902589,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"21","issue":"11","first_page":"5400","last_page":"5404"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11293","display_name":"Orthopedic Infections and Treatments","score":0.9854000210762024,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11293","display_name":"Orthopedic Infections and Treatments","score":0.9854000210762024,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11381","display_name":"Infectious Diseases and Tuberculosis","score":0.009100000374019146,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13328","display_name":"Osteomyelitis and Bone Disorders Research","score":0.0013000000035390258,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/sacral-osteomyelitis","display_name":"sacral osteomyelitis","score":0.968999981880188},{"id":"https://openalex.org/keywords/pediatric-osteomyelitis","display_name":"pediatric bone infection","score":0.878000020980835},{"id":"https://openalex.org/keywords/pelvic-osteomyelitis","display_name":"pelvic osteomyelitis","score":0.8899999856948853},{"id":"https://openalex.org/keywords/mri-diagnosis","display_name":"MRI diagnosis","score":0.753000020980835},{"id":"https://openalex.org/keywords/antibiotic-therapy","display_name":"antibiotic therapy","score":0.6940000057220459},{"id":"https://openalex.org/keywords/delayed-diagnosis","display_name":"delayed diagnosis","score":0.6639999747276306}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9703999757766724},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.5694000124931335},{"id":"https://openalex.org/C2778227786","wikidata":"https://www.wikidata.org/wiki/Q22350468","display_name":"Hip pain","level":2,"score":0.552299976348877},{"id":"https://openalex.org/C2779455797","wikidata":"https://www.wikidata.org/wiki/Q233316","display_name":"Sacrum","level":2,"score":0.5231000185012817},{"id":"https://openalex.org/C2780551157","wikidata":"https://www.wikidata.org/wiki/Q938983","display_name":"Osteomyelitis","level":2,"score":0.3917999863624573},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3610999882221222},{"id":"https://openalex.org/C2780364198","wikidata":"https://www.wikidata.org/wiki/Q7922753","display_name":"Vertebral osteomyelitis","level":3,"score":0.35760000348091125},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.3416999876499176},{"id":"https://openalex.org/C2778357063","wikidata":"https://www.wikidata.org/wiki/Q713102","display_name":"Pelvis","level":2,"score":0.2662000060081482},{"id":"https://openalex.org/C544519230","wikidata":"https://www.wikidata.org/wiki/Q32566","display_name":"Computed tomography","level":2,"score":0.2605000138282776},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.257999986410141}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1016/j.radcr.2026.07.052","doi":"https://doi.org/10.1016/j.radcr.2026.07.052","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.radcr.2026.07.052","pdf_url":null,"source":{"id":"https://openalex.org/S190549722","display_name":"Radiology Case Reports","issn_l":"1930-0433","issn":["1930-0433"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Radiology Case Reports","raw_type":"journal-article"},{"id":"pmid:42633287","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42633287","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Radiology case reports","raw_type":"Case Reports"},{"id":"pmh:oai:pubmedcentral.nih.gov:13499469","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13499469/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Radiol Case Rep","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1016/j.radcr.2026.07.052","doi":"https://doi.org/10.1016/j.radcr.2026.07.052","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.radcr.2026.07.052","pdf_url":null,"source":{"id":"https://openalex.org/S190549722","display_name":"Radiology Case Reports","issn_l":"1930-0433","issn":["1930-0433"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Radiology Case Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":26,"referenced_works":["https://openalex.org/W1932065333","https://openalex.org/W2008748876","https://openalex.org/W2016450723","https://openalex.org/W2034783501","https://openalex.org/W2040909407","https://openalex.org/W2041686876","https://openalex.org/W2046708302","https://openalex.org/W2059072123","https://openalex.org/W2073505559","https://openalex.org/W2076331019","https://openalex.org/W2079702356","https://openalex.org/W2085283047","https://openalex.org/W2103338644","https://openalex.org/W2103900937","https://openalex.org/W2105560857","https://openalex.org/W2110638449","https://openalex.org/W2113657686","https://openalex.org/W2124367192","https://openalex.org/W2133724091","https://openalex.org/W2136455686","https://openalex.org/W2141052112","https://openalex.org/W2155735180","https://openalex.org/W2171961479","https://openalex.org/W2329074305","https://openalex.org/W2779500206","https://openalex.org/W2883870380"],"related_works":["https://openalex.org/W4404293114","https://openalex.org/W2980648765","https://openalex.org/W2095337920","https://openalex.org/W1986507178","https://openalex.org/W4404067031","https://openalex.org/W2030734339","https://openalex.org/W7161044138","https://openalex.org/W2091711393","https://openalex.org/W2980550825","https://openalex.org/W2050381808"],"abstract_inverted_index":{"Pelvic":[0],"osteomyelitis":[1,78,157],"is":[2,9,20],"rare":[3],"in":[4,128,169],"children,":[5],"and":[6,52,93,132,143,162,177],"sacral":[7,67,156],"involvement":[8],"particularly":[10],"unusual.":[11],"Due":[12],"to":[13,25,54],"its":[14],"deep":[15],"anatomical":[16],"location,":[17],"clinical":[18,64],"presentation":[19],"often":[21],"nonspecific,":[22],"frequently":[23],"leading":[24],"diagnostic":[26,153],"delays":[27],"or":[28,33,102],"misdiagnosis":[29],"as":[30,159],"hip":[31,50,58,160],"arthritis":[32],"abdominal":[34],"pathology.":[35],"We":[36],"report":[37],"the":[38,80,140,146,152,164],"case":[39,150],"of":[40,79,117,124,139,145,155,167],"a":[41,85,94],"10-year-old":[42],"boy":[43],"who":[44],"presented":[45],"with":[46,84,114],"high-grade":[47],"fever,":[48],"right":[49,81],"pain,":[51],"inability":[53],"bear":[55],"weight.":[56],"Initial":[57],"ultrasonography":[59],"was":[60,112],"normal,":[61],"but":[62],"careful":[63],"examination":[65],"revealed":[66],"tenderness,":[68],"prompting":[69],"pelvic":[70],"magnetic":[71],"resonance":[72],"imaging":[73],"(MRI).":[74],"MRI":[75,136,168],"demonstrated":[76],"acute":[77],"hemi-sacrum":[82],"associated":[83],"small":[86],"paravertebral":[87,147],"collection,":[88],"diffuse":[89],"iliopsoas":[90],"muscle":[91],"infiltration,":[92],"minimal":[95],"sacroiliac":[96],"joint":[97],"effusion,":[98],"without":[99],"spinal":[100],"canal":[101],"neural":[103],"foraminal":[104],"involvement.":[105],"Blood":[106],"cultures":[107],"remained":[108],"negative.":[109],"The":[110],"patient":[111],"treated":[113],"10":[115],"days":[116],"intravenous":[118],"antibiotics":[119],"followed":[120],"by":[121],"3":[122],"weeks":[123],"oral":[125],"therapy,":[126],"resulting":[127],"complete":[129],"clinical,":[130],"biological,":[131],"radiological":[133],"recovery.":[134],"Follow-up":[135],"confirmed":[137],"resolution":[138],"marrow":[141],"edema":[142],"disappearance":[144],"collection.":[148],"This":[149],"highlights":[151],"challenge":[154],"presenting":[158],"pathology":[161],"emphasizes":[163],"pivotal":[165],"role":[166],"establishing":[170],"an":[171],"early":[172],"diagnosis,":[173],"assessing":[174],"disease":[175],"extent,":[176],"guiding":[178],"appropriate":[179],"management.":[180]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-08-15T00:00:00"}
