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Haemophilus influenzae Type b in an Immunocompetent, Fully Vaccinated ALL Survivor
A 7-year-old boy with a history of recurrent acute lymphoblastic leukemia (ALL), in remission, presented to primary care clinic after 2 days of progressive right hip pain with weight-bearing activities. He was otherwise asymptomatic at the time of presentation. Blood cultures revealed Gram-negative diplococci, which prompted an MRI that was significant for a hip joint effusion and femoral head bone marrow edema. The patient had no sick contacts and no significant past medical history other than ALL. The patient had been given all recommended childhood vaccinations. Arthrocentesis and needle biopsy of the femoral neck were ...
Source: PEDIATRICS - May 1, 2013 Category: Pediatrics Authors: Nevin, J., Kanter Washko, J., Arnold, J. Tags: Case Report Source Type: research