Hip pain, a common symptom, is rarely caused by pyomyositis. Here we present the case of a 58-year-old male patient with relapsing Henoch-Schonlein nephritis and diabetes, being treated with immunosuppressive agents who developed pain around the hip joint. Diagnosis was suspected after an MRI scan and confirmed when Staphylococcus aureus was isolated from aspirated purulent material. Prompt symptomatic improvement was noticed when the immunosuppressive agents were stopped and the patient was started on appropriate antibiotics. Early diagnosis and treatment is needed for prompt symptom resolution and prevention of serious complications.
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