Skip to main content

Advertising Disclaimer »

Main menu

  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors
    • Submit Manuscript
    • Author Guidelines
  • Content
    • Current Issue
    • Complete Issue PDF
    • Archive
    • Topic/Program Collections
    • Blog
  • Multimedia
    • Teaching Slides
    • Pediatrics On Call Podcast
  • CME/MOC
    • CME Quizzes
    • MOC Claiming
  • Subscribe
  • Alerts
  • Careers
  • Other Publications
    • American Academy of Pediatrics

User menu

  • Log in

Search

  • Advanced search
American Academy of Pediatrics

AAP Gateway

Advanced Search

AAP Logo

  • Log in
  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors
    • Submit Manuscript
    • Author Guidelines
  • Content
    • Current Issue
    • Complete Issue PDF
    • Archive
    • Topic/Program Collections
    • Blog
  • Multimedia
    • Teaching Slides
    • Pediatrics On Call Podcast
  • CME/MOC
    • CME Quizzes
    • MOC Claiming
  • Subscribe
  • Alerts
  • Careers
American Academy of Pediatrics
Index of Suspicion

Case 1: Erythema and Inability to Bear Weight in a 12-year-old Girl

Ahmad M. Suleiman, Sangeeta Krishna, Benjamin Katholi and Kate Eshleman
Pediatrics in Review February 2020, 41 (2) 81-83; DOI: https://doi.org/10.1542/pir.2017-0233
Ahmad M. Suleiman
*Pediatric Institute, Cleveland Clinic Children’s Hospital, Cleveland, OH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Sangeeta Krishna
*Pediatric Institute, Cleveland Clinic Children’s Hospital, Cleveland, OH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Benjamin Katholi
*Pediatric Institute, Cleveland Clinic Children’s Hospital, Cleveland, OH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Kate Eshleman
*Pediatric Institute, Cleveland Clinic Children’s Hospital, Cleveland, OH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Info & Metrics
  • Comments
Loading

This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.

Download PDF
  1. Ahmad M. Suleiman, MD*
  2. Sangeeta Krishna, MD*
  3. Benjamin Katholi, MD*
  4. Kate Eshleman, PsychD*
  1. *Pediatric Institute, Cleveland Clinic Children’s Hospital, Cleveland, OH
  • AUTHOR DISCLOSURE

    Drs Suleiman, Krishna, Katholi, and Eshleman have disclosed no financial relationships relevant to this article. This commentary does not contain a discussion of an unapproved/investigative use of a commercial product/device.

Editor’s Note

This month, many people use Valentine’s Day as an opportunity to celebrate loving relationships. As seen in some of this month’s Index of Suspicion cases, though, sometimes health problems result from imperfect relationships. As pediatricians, we have the privilege of working for the best possible outcomes for children and their families.

Philip R. Fischer, MD

Associate Editor, Index of Suspicion

Presentation

A 12-year-old previously healthy girl is admitted to the hospital from an orthopedic surgeon’s office due to concern for osteomyelitis 2 weeks after an injury while playing soccer. She began having foot pain and erythema after her foot was stepped on during a soccer match. A radiograph of the foot taken on the day of injury was negative for fracture. During the 10-day period after the injury, she describes decreased ability to bear weight and progression of erythema and tenderness over her dorsomedial right foot. She and her mother also report consistent fevers at home, with the highest recorded at 103°F (39.4°C).

A sports medicine physician saw her on the tenth day after her injury. The complete blood cell count and C-reactive protein level at his office were normal. She was started on clindamycin for a presumptive diagnosis of cellulitis, and she was referred to orthopedics for further evaluation. She was seen by orthopedics 2 days later and was sent for admission to the hospital due to worsening erythema and inability to bear weight. She had taken 4 doses of clindamycin by the time of admission with no apparent improvement in symptoms. Her mother has pictures showing the progression of erythema along the foot …

Individual Login

Log in
You will be redirected to aap.org to login or to create your account.

Institutional Login

via Institution

You may be able to gain access using your login credentials for your institution. Contact your librarian or administrator if you do not have a username and password.

Log in through your institution

If your organization uses OpenAthens, you can log in using your OpenAthens username and password. To check if your institution is supported, please see this list. Contact your library for more details.

Pay Per Article - You may access this article (from the computer you are currently using) for 2 days for US$25.00

Regain Access - You can regain access to a recent Pay per Article purchase if your access period has not yet expired.

Offer Reprints

PreviousNext
Back to top

Advertising Disclaimer »

In this issue

Pediatrics in Review: 41 (2)
Pediatrics in Review
Vol. 41, Issue 2
1 Feb 2020
  • Table of Contents
  • Table of Contents (PDF)
  • About the Cover
  • Index by author
  • Complete Issue (PDF)
View this article with LENS
PreviousNext
Email Article

Thank you for your interest in spreading the word on American Academy of Pediatrics.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Case 1: Erythema and Inability to Bear Weight in a 12-year-old Girl
(Your Name) has sent you a message from American Academy of Pediatrics
(Your Name) thought you would like to see the American Academy of Pediatrics web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Request Permissions
Article Alerts
Log in
You will be redirected to aap.org to login or to create your account.
Or Sign In to Email Alerts with your Email Address
Citation Tools
Case 1: Erythema and Inability to Bear Weight in a 12-year-old Girl
Ahmad M. Suleiman, Sangeeta Krishna, Benjamin Katholi, Kate Eshleman
Pediatrics in Review Feb 2020, 41 (2) 81-83; DOI: 10.1542/pir.2017-0233

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Case 1: Erythema and Inability to Bear Weight in a 12-year-old Girl
Ahmad M. Suleiman, Sangeeta Krishna, Benjamin Katholi, Kate Eshleman
Pediatrics in Review Feb 2020, 41 (2) 81-83; DOI: 10.1542/pir.2017-0233
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
Print
Download PDF
Insight Alerts
  • Table of Contents

Jump to section

  • Article
    • Editor’s Note
    • Presentation
    • Discussion
    • Management
    • References
  • Info & Metrics
  • Comments

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Sudden Unilateral Vision Loss in a Teenage Girl
  • A Teenage Boy with Right Forehead Swelling Following Trauma to the Head
  • Tachypnea and Epistaxis in a Full-term Infant
Show more Index of Suspicion

Similar Articles

Subjects

  • Psychiatry/Psychology
    • Psychiatry/Psychology
  • Hospital Medicine
    • Hospital Medicine
  • Journal Info
  • Editorial Board
  • ABP Content Specifications Map
  • Overview
  • Licensing Information
  • Authors
  • Author Guidelines
  • Submit My Manuscript
  • Librarians
  • Institutional Subscriptions
  • Usage Stats
  • Support
  • Contact Us
  • Subscribe
  • Resources
  • Media Kit
  • About
  • International Access
  • Terms of Use
  • Privacy Statement
  • FAQ
  • AAP.org
  • shopAAP
  • Follow American Academy of Pediatrics on Instagram
  • Visit American Academy of Pediatrics on Facebook
  • Follow American Academy of Pediatrics on Twitter
  • Follow American Academy of Pediatrics on Youtube
American Academy of Pediatrics

© 2021 American Academy of Pediatrics