A 5-month-old male child was rushed to the pediatric emergency department with a complaint that he refused to move his left lower limb and had been irritable for the past few hours. History No significant past medical history. The mother denied any trauma or fever. The infant did not have any upper respiratory symptoms or recent illness.
Exclusively on breastfeeding, no vitamins or minerals supplementation He was making adequate wet diapers, and there were no changes in bowel movements. Birth history Delivery- FTNVD, delivered at home New-born screening was negative for sickle cell disease or immunodeficiencies. As per the parents’ wish, the infant was unimmunized. Examination Body temp- 101 0 F Left lower extremity was kept in frog position No erythema or swelling He was crying upon palpating the lower limb Blood reports WBC count - 9.9 K/uL Manual differential count - 34% lymphocyte,…
