Rare Diseases Symptoms Automatic Extraction
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Lancing of a boil leading to severe invasive methicillin-sensitive Staphylococcus aureus infection in an adolescent.
[pyomyositis]
A
10
-
year
-old
boy
presented
to
the
emergency
department
with
chief
symptoms
of
fever
and
right
leg
pain
for
3
days
.
Also
of
note
,
he
reported
that
he
had
a
boil
on
his
neck
2
weeks
prior
to
admission
.
This
lesion
was
lanced
by
his
mother
with
a
hot
needle
.
An
X-
ray
,
CT
scan
and
MRI
of
the
right
knee
showed
no
evidence
of
osteomyelitis
.
He
was
placed
on
intravenous
vancomycin
for
empiric
treatment
.
Blood
culture
grew
methicillin-susceptible
Staphylococcus
aureus
(
MSSA
)
,
susceptible
to
vancomycin
and
clindamycin
.
He
continued
to
spike
fever
with
the
development
of
erythema
,
and
swelling
of
the
distal
thigh
.
Repeat
MRI
of
the
right
knee
showed
osteomyelitis
and
subperiosteal
abscess
in
the
distal
femur
shaft
with
surrounding
intramuscular
abscesses
and
pyomyositis
.
He
was
taken
to
the
operating
room
where
50
mL
of
fluid
was
drained
from
the
periosteal
abscess
and
a
bone
biopsy
was
obtained
.
Bone
marrow
culture
also
grew
MSSA
,
susceptible
to
clindamycin
.
Diseases
Validation
Diseases presenting
"erythema"
symptom
acute rheumatic fever
cowden syndrome
cutaneous mastocytosis
epidermolysis bullosa simplex
erythropoietic protoporphyria
familial mediterranean fever
harlequin ichthyosis
inclusion body myositis
kindler syndrome
lamellar ichthyosis
legionellosis
liposarcoma
malignant atrophic papulosis
neuralgic amyotrophy
omenn syndrome
pyomyositis
thoracic outlet syndrome
This symptom has already been validated