History A young primigravida mother has become concerned about her newborn child. She is accompanied in the clinic by her aunt who recognized that something was not quite right but was not sure what to advise. The baby has general symptoms of fever, fatigue, irritability, and malaise. There is no history of trauma. Examination Close inspection of the left leg reveals some localized edema and erythema. On palpation, the baby appears to have pain overlying the proximal tibia.
Passive manipulation shows a full range of movement of the leg without any obvious indications of pain. Investigations Initial investigations show a markedly elevated C-reactive protein (CRP). Imaging studies of the knee show the periosteal elevation of the proximal tibial metaphysis (Image). What is the diagnosis? *This image-based case is from Docplexus Editorial Team for educative purposes only. Source: 100 Cases…
