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Case 326
Jade Iwasaka-Neder1, M Alejandra Bedoya1, Andy Tsai1
1From the Department of Radiology, Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02115.
Radiology
|February 27, 2024
Summary
A 15-year-old boy experienced left hip pain, initially unresponsive to physical therapy. Lyme disease was diagnosed via positive immunoglobulin-G titers, and doxycycline treatment led to symptom resolution.
Area of Science:
- Pediatric Orthopedics
- Infectious Diseases
- Radiology
Background:
- A 15-year-old male presented with a 3-week history of inner left thigh pain, exacerbated by activity.
- Initial laboratory results showed normal hemoglobin, platelets, and total leukocytes, but a low neutrophil percentage and high eosinophil percentage.
- Physical examination revealed marked left hip pain, limited range of motion, and an antalgic gait.
