Ematoma, infezione e difetto della coagulazione

Febrile limp in paediatric patients is often associated with septic arthritis, but alternative diagnoses must be considered. The paper reports the case of a 10-year-old boy with intermittent fever and persistent coxalgia. Imaging revealed multiple abscess-like collections in the gluteal and thigh muscles. An improperly disinfected knee wound and factor VII deficiency contributed to infected hematoma formation. The isolation of MRSA producing Panton-Valentine leukocidin required targeted antibiotic therapy and surgical drainage. This case highlights the importance of careful differential diagnosis and a multidisciplinary approach in managing deep soft tissue infections.