A 15-Year-Old Girl with Fever and Abdominal Pain

作者:Diaz Molly*; DeZure Chandani Patel; Cordova Jonathan; Lo Andrea; Azzam Ruba
来源:Pediatric Annals, 2015, 44(3): E49-E52.
DOI:10.3928/00904481-20150313-08

摘要

We present a case of a previously healthy 15-year-old girl with fever, right lower quadrant pain, and hip pain. Her history was notable for a recent laparoscopic appendectomy that was complicated by the development of intraabdominal abscesses. She reported normal bowel movements and good appetite on a regular diet, although she did endorse a recent 5-kg weight loss. Further investigation and examination revealed a diagnosis of Crohn's disease with recurrent psoas muscle abscess as the etiology of her pain and fevers. Psoas abscess is a rare complication of Crohn's disease, and vague presenting symptoms may complicate its diagnosis. This case demonstrates the importance of maintaining a broad differential diagnosis when treating a child presenting with abdominal pain and fever.

  • 出版日期2015-3

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