The child was given oral antibiotics and analgesicsand discharged. Two days later, he presented to youwith secondary inability to walk with severeagonizing pain in his left knee. The left knee wasvery tender, swollen, red and hot.• What do you advice?a) Reassure the parents.b) Continue oral antibiotics.c) Hospitalization and IV antibiotics
Question
The child was given oral antibiotics and analgesicsand discharged. Two days later, he presented to youwith secondary inability to walk with severeagonizing pain in his left knee. The left knee wasvery tender, swollen, red and hot.• What do you advice?a) Reassure the parents.b) Continue oral antibiotics.c) Hospitalization and IV antibiotics
Solution
c) Hospitalization and IV antibiotics
The symptoms described - severe pain, tenderness, swelling, redness, and heat in the knee - are indicative of a serious infection, possibly septic arthritis. This is a medical emergency that requires immediate hospitalization and intravenous antibiotics. Oral antibiotics may not be sufficient to treat this condition. Additionally, the child may need surgical intervention to drain the infected joint fluid. Reassuring the parents without taking these necessary steps could lead to serious complications, including permanent damage to the joint and, in severe cases, septic shock.
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