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Limp Associated With a Peripheral Neuropathy Secondary to Car Seat Misuse

Am J Dis Child. 1990;144(6):617. doi:10.1001/archpedi.1990.02150300011002.
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Sir.—Limp or refusal to walk is a common problem encountered in as many as 4% of pediatric patients.1 Although the differential diagnosis is extensive, comprehensive reviews have not included peripheral nerve compression as a cause.1-5 Our patient presented with a limp caused by a femoral nerve injury, apparently resulting from restraint in a restrictive car seat for 5 continuous hours.

Patient Report.—A 19-month-old white male infant presented with a history of refusal to bear weight since the previous day and fever for 6 hours. The child had been in excellent health with normal gait and weight-bearing before beginning a 5-hour car trip the previous day. He had no history of trauma, recent immunizations, rash, arthritis, cellulitis, bruising, increased irritability, or progressive weakness. Otitis media was diagnosed and the patient was given amoxicillin and promethazine hydrochloride. After 3 days of treatment, he was afebrile but he continued


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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