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April 1985

Anterior Thigh Pain or Tenderness: A Diagnostically Useful Manifestation of Bacteremia

Author Affiliations

From the Department of Preventive Medicine and Community Health and Medicine, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark (Drs Louria and Kapila); St Michael's Medical Center, Newark (Drs Johnson and Smith); Department of Medicine, Jersey Shore Medical Center, Neptune, NJ (Dr Sen); and Cornell University Medical College, New York (Dr Roberts).

Arch Intern Med. 1985;145(4):657-658. doi:10.1001/archinte.1985.00360040077018

• In four patients with putative infectious process, anterior, bilateral proximal thigh pain and tenderness unaccompanied by generalized myalgias developed. This unusual manifestation, observed in these and other patients, was associated with demonstrable bacteremia. Aside from tenderness, no local abnormalities were found and the pain and tenderness disappeared after appropriate therapy. Creatine kinase levels, measured in three of the four patients, were elevated in only one. This manifestation is useful clinically as it strongly suggests bacteremia; attention to this finding can be lifesaving.

(Arch Intern Med 1985;145:657-658)