Female Softball Player With Sore Throat, Ankle Pain, And Fever - Page #3

Lab Studies:
The CBC revealed a white blood cell count of 7.27 (normal range: 4.50-11.00), Neutrophils of 67.0% (normal range: 25-60%), Lymphocytes of 16.1% (normal range: 20-50%), and Monocytes of 16.4% (normal range: 4.0-12.0%). The Erythrocyte Sedimentation Rate was 88 (normal range: 0-20), and the C-Reactive Protein was 227.0 (normal range: 0.0-0.9).

Other Studies:
The MRI of the right ankle revealed a large joint effusion, suspicious for septic arthritis of the tibiotalar joint with osteomyelitis of the distal tibial metaphysis and epiphysis. Case Photo #1 Case Photo #2 Case Photo #3

The patient followed up with pediatric orthopedics and infectious disease.

Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.

NOTE: For more information, please contact the AMSSM, 11639 Earnshaw, Overland Park, KS 66210, (913) 327-1415.

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