{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T17:49:35Z","timestamp":1760550575991,"version":"3.40.4"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,5,10]]},"abstract":"<jats:p>Groin pain is a frequently occurring complaint in presentations to the Emergency Department. Muscular sprain is often a differential diagnosis, however serious conditions such as pyomyositis should not be ignored. This case report presents a child with atraumatic right groin pain, which was initially diagnosed as a muscular sprain. The patient later re-presented out of hours to the Emergency Department with what was found to be extensive pelvic abscesses. He was subsequently found to have bilateral pneumonia and later developed a pericardial effusion and osteomyelitis of the right iliac bone, sacroiliac joint and sacrum. With multiple surgical interventions and appropriate antibiotics, he made a full recovery and was discharged home after a total admission time of 41 days. The causative organism was found to be Panton-Valentine leucocidin-positive methicillin-susceptible<jats:italic>Staphylococcus aureus<\/jats:italic>.<\/jats:p>","DOI":"10.1136\/bcr-2017-222138","type":"journal-article","created":{"date-parts":[[2018,6,5]],"date-time":"2018-06-05T13:05:23Z","timestamp":1528203923000},"page":"bcr-2017-222138","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Serious life-threatening multifocal infection in a child, caused by Panton-Valentine leucocidin-producing<i>Staphylococcus aureus<\/i>(PVL-MSSA)"],"prefix":"10.1136","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8421-2144","authenticated-orcid":false,"given":"Neda","family":"Irenji","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suresh Kumar Gopala","family":"Pillai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer Susan","family":"West-Jones","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,6,5]]},"reference":[{"key":"2025042703492388000_2018.jun04_3.bcr-2017-222138.1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.micro.112408.134309"},{"key":"2025042703492388000_2018.jun04_3.bcr-2017-222138.2","doi-asserted-by":"crossref","first-page":"18","DOI":"10.12968\/hmed.2015.76.1.18","article-title":"Panton-Valentine leukocidin osteomyelitis in children: a growing threat","volume":"76","author":"Sheikh","year":"2015","journal-title":"Br J Hosp Med"},{"key":"2025042703492388000_2018.jun04_3.bcr-2017-222138.3","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2012-007655"},{"key":"2025042703492388000_2018.jun04_3.bcr-2017-222138.4","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1007\/s15010-010-0002-7","article-title":"Multifocal community-acquired necrotizing fasciitis caused by a Panton-Valentine leukocidin-producing methicillin-sensitive Staphylococcus aureus","volume":"38","author":"Perbet","year":"2010","journal-title":"Infection"},{"key":"2025042703492388000_2018.jun04_3.bcr-2017-222138.5","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00134-14"},{"key":"2025042703492388000_2018.jun04_3.bcr-2017-222138.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)07877-7"},{"key":"2025042703492388000_2018.jun04_3.bcr-2017-222138.7","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d5343"},{"key":"2025042703492388000_2018.jun04_3.bcr-2017-222138.8","doi-asserted-by":"crossref","unstructured":"Bourigault C , Corvec S , Brulet V , et al . Outbreak of skin infections due to Panton-Valentine Leukocidin-Positive methicillin-susceptible staphylococcus aureus in a French Prison in 2010-2011. PLoS Curr 2014;6.doi:10.1371\/currents.outbreaks.e4df88f057fc49e2560a235e0f8f9fea","DOI":"10.1371\/currents.outbreaks.e4df88f057fc49e2560a235e0f8f9fea"},{"key":"2025042703492388000_2018.jun04_3.bcr-2017-222138.9","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1186\/1752-1947-5-157","article-title":"Methicillin sensitive Staphylococcus aureus producing Panton-Valentine leukocidin toxin in Trinidad & Tobago: a case report","volume":"5","author":"Akpaka","year":"2011","journal-title":"J Med Case Rep"},{"key":"2025042703492388000_2018.jun04_3.bcr-2017-222138.10","doi-asserted-by":"publisher","DOI":"10.1186\/2110-5820-1-52"},{"key":"2025042703492388000_2018.jun04_3.bcr-2017-222138.11","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.9743"},{"key":"2025042703492388000_2018.jun04_3.bcr-2017-222138.12","unstructured":"Health Protection Agency. Guidance on the diagnosis and management of PVL-associated Staphylococcus aureus infections (PVL-SA) in England [Internet]. https:\/\/www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/322857\/Guidance_on_the_diagnosis_and_management_of_PVL_associated_SA_infections_in_England_2_Ed.pdf (cited 6 Oct 2017)."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-222138","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T10:49:30Z","timestamp":1745750970000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-222138"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,5]]},"references-count":12,"alternative-id":["10.1136\/bcr-2017-222138"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-222138","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,6,5]]}}}