Fever and leg pain in a 42-month-old

Abstract

Introduction A 42-month-old female child presented with a 3-month history of left lower leg pain and 3 weeks of fevers to 38.9° C. The leg pain was a constant dull ache that had increased gradually. Her pain localized over the anterior left lower leg, but there was no swelling or erythema. She had a noticeable limp and avoided walking. There was no improvement with nonsteroidal anti-inflammatory drugs. There was no history of previous leg pain, trauma, lymph node swelling, rash, insect bite, viral infection, or joint swelling.