Approximately 16 percent of children presenting with invasive meningococcal disease display extremity pain or refuse to walk.
Recognising such extremity symptoms could help doctors identify paediatric patients with unsuspected invasive meningococcal disease, United States researchers suggest.
“Although extremity pain and refusal to walk are non-specific clinical findings in febrile children, these signs and symptoms should raise the possibility of invasive meningococcal disease,” say investigators led by Dr. Stanley Inkelis at the Harbour-University of California at Los Angeles Medical Centre in Torrance.
“Febrile children with extremity pain or refusal to walk in selected clinical situations with a higher previous probability of meningococcal disease should be carefully evaluated for the possibility of invasive meningococcal disease.”






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