Patient's question:
The child is 13 years old. For many years, they have been frail, had poor appetite, and disliked physical activity. They are sensitive to heat but also, frequently suffer from low-grade fevers, and experience toe pain when feverish.Doctor's answer:
If the leg pain you mentioned refers to the calf, then Leptospirosis should be considered. If it's the thigh, then the possibility of a bone tumor should be considered. Of course, blood system diseases must also be taken into account, such as leukemia and tuberculosis.Of course, a simple fever can also cause symptoms of general body aches, but for a child who has already been treated, it's still better to be cautious.
Recommendations:
Tests needed: Blood test, X-rays of the legs and lungs, PPD test. Treatment should be targeted based on the results of these tests.