title: Meralgia Paresthetica as a Presentation of Acute Appendicitis in a Girl With Acute Lymphoblastic Leukemia.
abstract: A 7-year-old girl with Philadelphia chromosome-positive acute lymphoblastic leukemia developed recurrent fever and meralgia paresthetica (MP) during chemotherapy, which resolved after administration of antibiotics. Five months after the onset of these symptoms, enhanced computed tomography showed a periappendiceal abscess extending into the psoas muscle. The cause of her fever and MP was thought to be appendicitis, which probably developed during induction chemotherapy but did not result in typical abdominal pain. Patients with recurrent fever and MP should be evaluated by imaging examinations including computed tomography to search for appendicitis.
authors.affiliation: Departments of *Pediatrics †Gastrointestinal Surgery, National Kyushu Cancer Center, Fukuoka ‡Department of Pediatrics, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan.
authors.forename: Miho
authors.initials: M
authors.lastname: Nishimura
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Kodama
authors.forename: Reiji
authors.initials: R
authors.lastname: Fukano
authors.forename: Jun
authors.initials: J
authors.lastname: Okamura
authors.forename: Kippei
authors.initials: K
authors.lastname: Ogaki
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Sakaguchi
authors.forename: Masahiro
authors.initials: M
authors.lastname: Migita
authors.forename: Jiro
authors.initials: J
authors.lastname: Inagaki
mesh_terms: D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000009:adverse effects*; D001062:Appendectomy; D001064:Appendicitis / Q000139:chemically induced / Q000175:diagnosis* / Q000601:surgery; D016026:Bone Marrow Transplantation; D002648:Child; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D005260:Female; D020428:Femoral Neuropathy; D005334:Fever / Q000209:etiology; D006801:Humans; D009408:Nerve Compression Syndromes / Q000139:chemically induced / Q000175:diagnosis* / Q000628:therapy; D010677:Philadelphia Chromosome; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000150:complications / Q000188:drug therapy* / Q000473:pathology; D011379:Prognosis; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents