Abstract
A previously healthy 9-year-old girl presented with a 3-day history of high fever (> 40 °C) and acute pain in the right shoulder. A blood chemical profile showed a C-reactive protein level of 9.7 mg per liter and a white cell count of 12,500 per cubic millimeter. Shoulder radiographs were normal, but magnetic resonance imaging showed acute osteomyelitis around proximal humeral epiphyseal plate and a subperiosteal abscess around the humeral neck
Highlights
A previously healthy 9-year-old girl presented with a 3-day history of high fever (> 40 °C) and acute pain in the right shoulder
Vancomycin was empirically started after blood cultures taken
The blood cultures grew Methicillin-Susceptible Staphylococcus aureus (MSSA) and the antibiotherapy was de-escalated to cefazolin
Summary
A previously healthy 9-year-old girl presented with a 3-day history of high fever (> 40 °C) and acute pain in the right shoulder. Yuki Yoshida, MD* and Atsushi Yoshida, MD *Corresponding author: Yuki Yoshida, Department of Orthopedic Surgery, National Hospital Organization Saitama Hospital, 2-3 Suwa, Wako-shi,, Saitama, 351-0102, Japan, Tel: +81-48-462-1101, Fax: +81-48-464-1138 A blood chemical profile showed a C-reactive protein level of 9.7 mg per liter and a white cell count of 12,500 per cubic millimeter.
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