From Hip Pain to MAS: A Case of Gonococcal Arthritis in a Child
1
Student Scientific Association at the Department of Pediatric Orthopedics, Medical University of Lublin, Poland
2
Department of Neurology and Stroke Unit, Edmund Biernacki Specialist Hospital, Mielec, Poland, Poland
3
Clinical Department of Toxicology and Cardiology, Stefan Wyszyński Regional Specialist Hospital, Lublin, Poland, Poland
4
Department of Paediatric Orthopedics, Medical University of Lublin, Poland
Submission date: 2025-12-10
Acceptance date: 2026-02-20
Publication date: 2026-03-30
Corresponding author
Mateusz Trubalski
Student Scientific Association at the Department of Pediatric Orthopedics, Medical University of Lublin, Poland
Student Scientific Association at the Department of Pediatric Orthopedics, Medical University of Lublin, Poland
Wiadomości Lekarskie 2026;(3):666-671
KEYWORDS
TOPICS
ABSTRACT
Aim:
Joint pain in children presents a diagnostic challenge due to its multifaceted etiology, ranging from musculoskeletal injuries to systemic infections.
Material and methods:
This case report details a 3-year-and-5-month-old girl with bilateral hearing impairment and congenital cytomegalovirus infection, who was admitted to the hospital with thigh pain, high fever, and difficulty walking.
Case report:
Despite being hemodynamically stable and without apparent signs of infection, extensive diagnostic evaluations revealed gonococcal hip arthritis. This condition, caused by Neisseria gonorrhoeae, is unusual in young children and typically associated with perinatal transmission or sexual abuse. The diagnosis was confirmed through molecular testing, highlighting the importance of considering rare etiologies in pediatric joint pain cases. The patient’s management included multidisciplinary consultations, various imaging and laboratory tests, and specific antimicrobial therapies.
Summary:
The case underscores the necessity of a comprehensive diagnostic approach in pediatric patients with joint pain, especially when associated with other health conditions, to ensure accurate diagnosis and appropriate treatment.
Joint pain in children presents a diagnostic challenge due to its multifaceted etiology, ranging from musculoskeletal injuries to systemic infections.
Material and methods:
This case report details a 3-year-and-5-month-old girl with bilateral hearing impairment and congenital cytomegalovirus infection, who was admitted to the hospital with thigh pain, high fever, and difficulty walking.
Case report:
Despite being hemodynamically stable and without apparent signs of infection, extensive diagnostic evaluations revealed gonococcal hip arthritis. This condition, caused by Neisseria gonorrhoeae, is unusual in young children and typically associated with perinatal transmission or sexual abuse. The diagnosis was confirmed through molecular testing, highlighting the importance of considering rare etiologies in pediatric joint pain cases. The patient’s management included multidisciplinary consultations, various imaging and laboratory tests, and specific antimicrobial therapies.
Summary:
The case underscores the necessity of a comprehensive diagnostic approach in pediatric patients with joint pain, especially when associated with other health conditions, to ensure accurate diagnosis and appropriate treatment.
| eISSN: | 2719-342X |
| ISSN: | 0043-5147 |
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