A 14-year-old girl with fatigue, weakness, and pallor.
نویسنده
چکیده
This 14-year-old previously healthy girl presents with a 6-week history of increasing fatigue, weakness, and pallor. She was well until 6 weeks before admission when she went on a 2week Mediterranean cruise with her family. During the cruise, she started having nasal congestion and rhinorrhea. Upon returning home, she was prescribed a 10day course of Augmentin for possible sinusitis by one of her parents who is a nurse practitioner, which was said to have helped the symptoms. She then went to sleepaway camp, during which time she began to feel fatigued and developed persistent rhinorrhea. In addition, she had been experiencing temperatures ranging from 100 to 101.5°F. For the last week, she has complained of thigh and knee pain while walking and “purplish-red bumps” on her feet, ankles, knees, and wrists. On review of systems, she complained of intermittent epistaxis whenever she “blows her nose hard.” She has had occasional aphthous ulcers and intermittent abdominal pain during this time. Her travel history includes a mission trip to Kentucky 2 weeks before admission, the Mediterranean cruise, and sleep-away camp in Michigan.
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ورودعنوان ژورنال:
- Pediatric annals
دوره 39 8 شماره
صفحات -
تاریخ انتشار 2010