Ngo Thuy, Doughty Cara
Pediatric Emergency Medicine, Baylor College of Medicine, Texas Children's Hospital, 6621 Fannin Street, Houston, TX 77030, USA.
Pediatr Emerg Care. 2010 Sep;26(9):676-7. doi: 10.1097/PEC.0b013e3181f054e6.
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.
关节或肢体疼痛的儿童是急诊科常见的就诊病例。通常，患者的病史中存在某些因素，无论是外伤还是其他重要病史，都能得出可能的诊断。当有发热和进行性手臂无力的病史时，敏锐的急诊科医生会提高对可能存在的全身性疾病的警惕。我们描述了一名7岁男孩的病例，他因同一侧手臂进行性无力而到急诊科就诊，伴有单侧肩部疼痛和发热。
