An 11-year-old boy with a history of asthma and constipation presented with 6 weeks of intermittent, worsening lower back pain. His pain was mild to moderate, woke him from sleep, and limited his physical activity. He had previously been referred to orthopedics by his pediatrician owing to multiple presentations for the same complaint. The patient denied recent trauma, fevers, weight loss, cough, rash, or sick contacts. He was born in the United States with no recent travel. According to outpatient records, his height had been unchanged for the last 2 years.
Hotz A, Hena Z, Gross E. A Case of Back Pain That Wakes a Child From Sleep. JAMA Pediatr. 2016;170(11):1101–1102. doi:10.1001/jamapediatrics.2016.0454
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