Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
183 Doctors are Online

Fever, cough, lack of appetite, acute left knee pain, cant straighten legs, chances of cancer ?

5 years old boy, feverish for a few weeks, had a cough . very small stature, but only 34 lbs, at 5. lack of appetite lately, acute pain in left knee . x rays wee clear, can not straighten legs while sitting on the floor. very painful. very emotional lately. father has a history of testiclular cancer (30) mother has cancer in both parents other side.
Asked On : Fri, 10 Feb 2012
Answers:  1 Views:  61
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Pediatrician, Infectious Diseases 's  Response
Welcome to Healthcare Magic forum.
History of fever and knee pain may point to an underlying chronic bacterial infection( osteomyelitis ) most likely but can also occur in chronic inflammatory disorders like autoimmune diseases or malignancy or viral infections.The weight may be apropriate for stature but more important to notice is any recent weight loss or failure to gain weight for many months.
Since there is painful limitation in the range of movement but no bony changes on xrays you need to rule out other musculoskeletal or systemic or infective problems.This requires a step by step evaluation first by physical examination of the child by a pediatrician or pediatric orthopaedist and depending on which further investigation may be done like ultrasound or mri of the affected limb, ultrasound abdomen and pelvis. blood tests like complete blood counts, esr, crp, bleeding profile etc
Since there is a strong history of malignancy in family, it is better to be investigated and be on the safer side, however it's less likely as most bone tumours should be visible on xrays.
Wishing him a speedy recovery.

Answered: Fri, 10 Feb 2012
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]


Loading Online Doctors....
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor