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Radiological Case of the Month

Thomas A. Clarke, MD; David K. Edwards, MD; Allen Merritt, MD; Lionel W. Young, MD
Am J Dis Child. 1982;136(1):69-70. doi:10.1001/archpedi.1982.03970370071018.
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A 13-day-old female infant was seen at the outpatient clinic for poor feeding and sleepiness. She had been born at term after an uncomplicated pregnancy; elective cesarean delivery had been performed for primigravid breech presentation. The mother was a well-controlled diabetic. Birth weight had been 4,040 g, and Apgar scores, 9 and 10 at one and five minutes, respectively. A left hip click (Ortolani's) had been noted, which was not reproducible after two days. She had been discharged in apparent good health at 1 week of age.

On the present admission at 13 days of age, she did not appear ill; however, CSF contained 24 WBCs per cubic millimeter, and subsequent culture of the fluid revealed group B Streptococcus. She was treated for two weeks with intravenous penicillin G potassium with complete clinical recovery from her meningitis.

Following her hospital admission, limited motion of her right leg was noted, together


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