A 7-year-old girl with Philadelphia chromosome-positive acute lymphoblastic leukemia developed recurrent fever and meralgia paresthetica (MP) during chemotherapy, which resolved after administration of antibiotics. Five months after the onset of these symptoms, enhanced computed tomography showed a periappendiceal abscess extending into the psoas muscle. The cause of her fever and MP was thought to be appendicitis, which probably developed during induction chemotherapy but did not result in typical abdominal pain. Patients with recurrent fever and MP should be evaluated by imaging examinations including computed tomography to search for appendicitis.
Departments of *Pediatrics
†Gastrointestinal Surgery, National Kyushu Cancer Center, Fukuoka
‡Department of Pediatrics, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan
The authors declare no conflict of interest.
Reprints: Yuichi Kodama, MD, Department of Pediatrics, National Kyushu Cancer Center, 3-1-1 Notame, Minami-ku, Fukuoka 811-1395, Japan (e-mail: email@example.com).
Received February 18, 2014
Accepted April 30, 2014