Author/Authors :
Bordbar Mohammadreza نويسنده , Zareifar Soheila نويسنده , Shahriari Mahdi نويسنده Division of Pediatric Hematology Oncology, Department of Pediatrics, Shiraz University of Medical Sciences, Shiraz, Iran , Amanati Ali نويسنده Hamadan University of Medical sciences, Hamadan, Iran , Zekavat Omid Reza نويسنده Hematology Research Center, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran; , Kamali Karmella نويسنده Medical Imaging Research Center, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran , Shokripour Mansoureh نويسنده Department of Pathology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran , Shakibazad Nader نويسنده Division of Pediatric Cardiology, Department of pediatrics, Shiraz University of Medical Sciences, Shiraz, IR Iran , Moradi Mehrpour نويسنده Hematology Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran
Abstract :
[Introduction]Acute lymphoblastic leukemia (ALL) has various clinical manifestations due to bone marrow or extra medullary involvement. Osteomyelitis may occur as the first presentation or relapsing sign of ALL. Multifocal osteomyelitis in non-neutropenic children with ALL is rare.[Case Presentation]This study reported on an 8-year-old male with ALL during the maintenance phase of his treatment, who presented fever and generalized body pain. Bone scan showed multiple bones involvement and biopsy was in favor of osteomyelitis. [Conclusions]Multifocal osteomyelitis should be kept in mind as a possible diagnosis in patients with leukemia, who are presented with prolonged fever.
