Progressive unilateral arm weakness in a 7-year-old boy.
A child with joint or extremity pain is a common presentation to the emergency department. Often, there is some element to the patient's history, whether it is trauma or some other significant history, which leads to a likely diagnosis. When there is a history of fever and progressive arm weakness, an astute emergency physician would have heightened awareness of a possible systemic process. We describe a case of unilateral shoulder pain with associated fever in a 7-year-old boy who presented to the emergency department with progressive arm weakness to the same side.
Ngo
Thuy
T
Pediatric Emergency Medicine, Baylor College of Medicine, Texas Children's Hospital, 6621 Fannin Street, Houston, TX 77030, USA. tlngo@texaschildrens.org
Doughty
Cara
C
D000208:Acute Disease; D001132:Arm; D020968:Brachial Plexus Neuritis / Q000150:complications* / Q000175:diagnosis; D002648:Child; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D018908:Muscle Weakness / Q000175:diagnosis* / Q000209:etiology; D020069:Shoulder Pain / Q000175:diagnosis / Q000209:etiology*