Meralgia Paresthetica as a Presentation of Acute Appendicitis in a Girl With Acute Lymphoblastic Leukemia
Miho Nishimura1, Yuichi Kodama, Reiji Fukano
1Departments of *Pediatrics †Gastrointestinal Surgery, National Kyushu Cancer Center, Fukuoka ‡Department of Pediatrics, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan.
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.
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