International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 1, Issue 2 | Case Report | Open Access
1Department of Pediatrics, Division of Emergency Medicine, Children’s Hospital of Michigan, USA
2Pediatric Radiology Fellowship Program Director, Wayne State University School of Medicine, USA
3Division of Radiology, Children’s Hospital of Michigan, Wayne State University School of Medicine, USA
*Correspondence to: Sarah Harris-KoberFulltext PDF
Skin and soft tissue infections are an increasingly common reason for visits to the Emergency Department (ED) in children. A 6 year old female presented to the ED with concern for persistent right gluteal swelling which was resistant to treatment with two courses of antibiotics and Incision and Drainage (I&D). The patient was ultimately diagnosed with an alveolar rhabdomyosarcoma via lymph node biopsy. Soft tissue malignancy is an uncommon differential to consider in children presenting with cellulitis.
Rhabdomyosarcoma is the most common soft tissue malignancy in children, and presents similarly to a soft tissue infection with the only differentiating characteristics including persistent unresponsive symptoms and lack of purulent drainage with I&D. Clinicians should have a high index of suspicion for malignancy while evaluating children with soft tissue infection unresponsive to common treatment modalities.
Gluteal Swelling; Skin; Lymph node
Sarah Harris-Kober, Tabatha Alrayes, Sheena Saleem, James W Davis, Nirupama Kannikeswaran. A Child with Persistent Gluteal Swelling. Int Clinc Med Case Rep Jour. 2022;1(2):1-6.