ABSTRACT
We present the case of a child who developed a massive subperiosteal hemorrhage and subsequent osteonecrosis of her right femur after treatment with tissue plasminogen activator for post-varicella streptococcal purpura fulminans. Radiographs showed posteromedial translation of the capital femoral epiphysis on the necrotic shaft, and the hip was immobilized. The femur slowly remodeled and has continued to grow. The child is independently ambulatory with a 2.1-cm leg length discrepancy, a varus deformity of the hip, and a valgus distal femur.
Subject(s)
Femur , Fibrinolytic Agents/therapeutic use , IgA Vasculitis/drug therapy , Osteonecrosis/complications , Tissue Plasminogen Activator/therapeutic use , Bone Remodeling , Chickenpox/complications , Female , Femur/diagnostic imaging , Hemorrhage/diagnosis , Hemorrhage/etiology , Humans , IgA Vasculitis/microbiology , Infant , Magnetic Resonance Imaging , RadiographyABSTRACT
Clinical history, surgical treatment, and pathologic findings of a solitary liver metastasis of a malignant thymoma in a 46-year-old female are reported. An extensive literature review has revealed no record of surgical resection of liver metastasis in a patient with invasive thymoma.
