Neuroblastoma in a 3-year-old boy presenting with pain in the bilateral hip and abdomen
Pediatric Emergency Medicine Journal
;
: 59-64, 2016.
Article
in Korean
| WPRIM
| ID: wpr-190315
ABSTRACT
A 3-year-old boy presented to our emergency department with a 3-week history of pain in the bilateral hip and abdomen that had persisted through antibiotic therapy based on diagnosis of acute osteomyelitis. At presentation, he had fever, anemia, and increased concentration of lactate dehydrogenase. After the identification of a left adrenal mass indicating neuroblastoma on computed tomography scan, he was admitted to the hospital by a pediatric oncologist. Subsequently, positron emission tomography and bone scintigraphy showed disseminated metastasis to the bone and bone marrow, and neuroblastoma was pathologically confirmed. This case highlights the importance of differential diagnosis of non-traumatic hip pain in toddlers considering the protean manifestations of neuroblastoma.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Osteomyelitis
/
Bone Marrow
/
Radionuclide Imaging
/
Positron-Emission Tomography
/
Diagnosis
/
Diagnosis, Differential
/
Emergencies
/
Emergency Service, Hospital
/
Abdomen
/
Fever
Type of study:
Diagnostic study
Limits:
Child
/
Child, preschool
/
Humans
/
Male
Language:
Korean
Journal:
Pediatric Emergency Medicine Journal
Year:
2016
Type:
Article
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