Okay, here’s the edit.
So, The Boy started off last Thursday with left leg pain. I thought it was pins and needles. I said, walk on it. he cried. I said, it’ll be okay, just use it. It didn’t get better. he limped. he cried. So, I started carrying him. It was pitiful
I flexed his left hip to pick him up and he SCREAMED. I got scared. REALLY SCARED. Additionally, he has been carrying low grade fevers for about 2 weeks. Hm.
So, I know leukemia was a possibility. I made an appt. with our pediatrician for Monday, figuring if he bettered up, I could cancel and be none the worse for wear.
He did better up some. The fever persisted. His nose got snotty, nasty like. I thought that was a separate issue though.
So my mother tells me of a thing my brother experienced once called “TOXIC SYNOVITIS” (the following is from Medline and if you care to bypass it, be my guest.)
“Synovitis – toxic; Transient synovitis
Definition
Toxic synovitis is a condition affecting children that causes hip pain and limping.
Causes, incidence, and risk factors
Toxic synovitis is a frequent cause of limping with hip pain in children. It occurs in children prior to the onset of puberty and is a transient arthritis of the hip that usually resolves on its own. Its cause in not known but boys are affected more frequently than girls (approximately 4 to 1).
Symptoms are usually mild and generally include hip pain and a slight limp. The hip pain almost always involves only one side (unilateral). A low grade fever (usually less than 101 degrees) may be an early symptom. Aside from the hip discomfort, the child does not usually appear ill.
Toxic synovitis is a diagnosis of exclusion, which means that it is diagnosed when other, more serious conditions, have been ruled out. In children there are three potentially serious diseases that can cause hip pain and limp: septic hip, slipped capital femoral epiphysis, and Legg-Calve-Perthes disease. Once these other diagnoses have been excluded, then the diagnosis of toxic synovitis (which is the most common of all these diseases) is usually made.
Symptoms
- hip pain (on one side only)
- limp
- thigh pain, in front and toward the middle (may be present)
- knee pain (may be present)
- low grade fever, less than 101 degrees Fahrenheit (may be present)
Signs and tests
- ultrasound of the hip will demonstrate a joint effusion
- X-ray of the hip (expected to be normal)
- ESR may be slightly elevated
- complete blood count (may show increased white cells)
Other test occasionally done to rule out other causes of hip pain:
- aspiration of fluid from the hip joint
- bone scan
- MRI
Treatment
Treatment often includes limiting activity to make the child more comfortable. However, there is no danger associated with performing normal activities. Nonsteroidal anti-inflammatory medications (NSAIDS) may be prescribed to reduce pain.
Expectations (prognosis)
The hip pain resolves within a week to 10 days.
Complications
Toxic synovitis is a self-limited disease with no expected long-term complications.
Calling your health care provider
Call for an appointment with your child’s health care provider if your child has unexplained hip pain or a limp, with or without associated fever.
If your child has a diagnosis of toxic synovitis you should call if the hip pain persists longer than 10 days, if the pain gets worse or if a high fever develops.
Well, he did better up to some degree. The MO of toxic synovitis described the Boy to the T!
Our dr, whom have I told you I really really respect, suspects that I am correct with guessing TS, however, he would like to have a series of films and lab work to rule out LEUKEMIA and Necrotic Hip Disease. I’d like that too.
So, we had lab work done, we had xrays done. The Boy was NOT impressed with the lab work. I was NOT impressed with the lab tech, who was rude and insulting.
I waited for 5 hours. 5 long and seemingly endless hours.
The call finally came. He doesn’t believe it’s leukemia. the lab work indicates the opposite. It says that he has a bacterial infection. The sinus infection. Augmentin will kill that.
So, the news is all good. No Leukemia.
You know, I said to Driver last night that we’ve had quite a few “hold your breath” moments with Boy. We’ve been lucky, blessed or downright fortunate that it’s all been ‘treatable’.
Damn fortunate indeed.