 |
|
Picture of the Month—Quiz Case
Eric J. Haas, MD;
Linda Ernst, MD
Arch Pediatr Adolesc Med. 2009;163(1):85.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
A previously healthy 3-year-old girl had 3 days of fever, decreased activity, and a limp. There was no antecedent trauma. She reported left hip pain and her mother noted an abnormal gait. On examination, the patient's temperature was 39.2°C. She had bilateral cervical lymphadenopathy with a prominent right-sided 2 x 2-cm anterior cervical lymph node with mild tenderness but no warmth or erythema. At her left hip, there was no tenderness to palpation, but range of motion was limited. The patient's peripheral white blood cell count was 13 400/µL (to convert to x109/L, multiply by 0.001) with 36% segmented neutrophils. Her erythrocyte sedimentation rate was 72 mm/h, and C-reactive protein concentration was 3.2 mg/dL. Urinalysis, basic chemistry, and hepatic function testing results were within normal limits. Serologic tests for Bartonella henselae antibodies did not reveal evidence of acute infection (IgM < 1:16; IgG, 1:128).
. . . [Full Text of this Article]
Author Affiliations: Division of Infectious Diseases, Department of Pediatrics (Dr Haas), and Division of Anatomic Pathology, Department of Pathology and Laboratory Medicine (Dr Ernst), Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. Dr Haas is now with Soroka University Hospital, Beersheva, Israel.
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
RELATED ARTICLE
Picture of the Month—Diagnosis
Arch Pediatr Adolesc Med. 2009;163(1):86.
EXTRACT
| FULL TEXT
|
