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Adolescent with an abrupt onset of muscle pain and fever

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By Riccardo Barberini, Antonella Luglio, Alessandro De Fanti, Lorenzo Iughetti
| bmj.com
Case An early-teen boy with spastic bilateral cerebral palsy predominantly affecting the lower limbs was admitted to hospital with a 12-hour history of fever and pain in the left thigh. Two months previously the patient had a biceps femoris and semimembranosus muscle fasciotomy and a tendon shortening procedure and had been on anticoagulation therapy. The pain presented following his initial mobilisation after this procedure.
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