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Lori Schaen, MD; Anita P. Sheth, MD
University of Cincinnati Medical Center, Cincinnati, Ohio

Arch Dermatol. 1998;134:1145-1150.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 3-year-old white girl was admitted to Children's Hospital, Cincinnati, Ohio, after a month-long history of persistent spiking fevers and tenderness of her left wrist and left leg. An x-ray film and a bone biopsy specimen from the patient's left wrist showed changes consistent with osteomyelitis. Despite negative bone culture results, a central line was placed, and the patient was treated intravenously with vancomycin and cefotaxime sodium at home. The patient initially did well, but the spiking fevers and severe pain returned.

A subsequent workup at another facility included a bone marrow biopsy, computed tomography of the abdomen and sinuses, and radiography of the chest. The results of all these tests were within normal limits. Also, a skin biopsy specimen was obtained from the edge of an ulcer on the dorsal aspect of the patient's left wrist at the site of the . . . [Full Text of this Article]