Right Knee Joint Pain with Inability to Walk

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

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Rakesh Kumar, Binay Ranjan, Manjul Vijay Department of Pediatrics, Katihar medical college, Katihar...

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	Specialist Answers
Question
A 4 year old boy came with the complaints of sudden pain in the right knee joint which radiates upto the foot. He also complained that he couldn't walk when he woke up at morning. He didn't complain of any rise in temperature or swelling of the knee joint. His mother complained that the boy did not allow to touch his right leg. With all these complaints he was brought here by his parents. In past history his mother told that, after completing 2 years he sometimes complaint of pain and burning sensation in both the feet and was treated by Calcium tablet for 2 months. On examination temperature was 98 degree F, pulse normal, knee joint had no swelling or redness or tenderness. On laboratory investigation his ASO titre was 200 and C-reactive protein was negative. What is the diagnosis of this case? Is there anybody who can help me? And what is the treatment of this case? Is there any query, please mail me. Thank you Dr. Md. Sharif Hasna MBBS
Answer
Rule out a neurological cause such as neuritis. Rule out electrolyte imbalance and get a CPK to rule out myositis. It may be worthwhile to do X-ray to rule any bone problem. Lead poisoning should also be ruled out. Back to All Questions

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