Chapter

Case 42

Joel David, Anne Miller, Anushka Soni and Lyn Williamson

in Oxford Case Histories in Rheumatology

Published on behalf of Oxford University Press

Published in print October 2011 | ISBN: 9780199587506
Published online November 2012 | e-ISBN: 9780191753442 | DOI: http://dx.doi.org/10.1093/med/9780199587506.003.0042

Series: Oxford Case Histories

Case 42

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A 10-year-old boy presented to his GP with a 4-week history of anterior chest wall pain exacerbated by deep inspiration that was severe enough to prevent him attending school. On examination he was systemically well, but had tenderness over the sternum and right second rib, which appeared prominent. A CXR showed a lytic lesion of the right second rib (Fig. 42.1). He was referred to the orthopaedic team. Given the uncertain nature of the lesion it was thought prudent to commence treatment for osteomyelitis with intravenous antibiotics. Blood cultures taken prior to treatment were subsequently found to be negative.

Chapter.  1705 words.  Illustrated.

Subjects: Rheumatology

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