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The x-ray shows fluid in the area of the hip joint, which can fit the picture of a toxic synovitis.
Given the presentation and elevated WBC, the child was referred to hospital to rule out a septic arthritis.
Case presented by Nahum Kovalski, BSc, MDCM; the patient was treated by Dr. Eliyahu Sheleg.
[taq_review]
2-year-old boy with sudden pain in left leg
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