Consultant for Pediatricians Vol 10 No 2

Musculoskeletal infections in children include osteomyelitis, septic arthritis, and pyomyositis. Most of these infections are bacterial.

A 10-year-old boy injured his left elbow during football practice. He subsequently had pain with normal range of motion of the elbow.

My 3-year-old son slaps and bites other children at preschool. His teacher says he is too hyperactive and needs medicine to calm him down.

A 14-year-old girl had fatigue, a slight sore throat, and low-grade fever for a week. The mother was concerned that she had “mono” like her older sister who had the same symptoms and in whom the illness was diagnosed 2 months earlier.

This obese 18-year-old has had a brown, scaly rash for 4 years. Over that time, the rash has spread from his neck, where it initially developed, to his chest and back.

This erythematous, blanching papular rash developed on the trunk of a 20-month-old boy 3 days after he became ill with a low-grade fever (temperature of 38.3ºC [101ºF]) and mild upper respiratory tract infection symptoms.

Five-year-old girl with redness and light sensitivity of the right eye of 2 days' duration. She denied any significant pain or decreased vision. She initially presented to an urgent care clinic, where application of polymyxin B/trimethoprim eye drops 4 times a day was prescribed.

The bump on this 5-year-old girl's left wrist had been gradually enlarging. The child could not remember how long it had been present.