Age: 4.0
Sex: M
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Musculoskeletal stiffness, Pain, Peripheral swelling, Pharyngitis streptococcal, Poor quality sleep
Clinical narrative: He got his vaccines, and was OK.  On Thursday he was limping with discomfort in his legs, but still active.  Friday, 3/1/24, he was sitting down the entire down and by Friday night is when he started showing discomfort when he was up and walking around.  He took a shower, he could barely stand and was screaming and craying.  His sister was getting him ready for bed, mom was at work.  Sister layed him down from 9-10 and was talking and turning until 4:00 AM in the morning.  Mom got home at 4:08 and took his clothes off to check his legs his left leg was completely stiff, would not bend it or move it, was screaming.  Mom picked him up and picking him up or touching it he was screaming.  He kept pointing to his leg he would not let her touch it, and realized that it was his knee.  At that time his knee was inflamed, completely swollen.  When mom checked his right foot it started having tiny red dots randomly on his foot in sections of his body, lower body.  Some on his foot, leg and random ones.  She took him to the Hospital at around 6:00 AM, and they ended up doing an X-ray and also around this time he cannot walk, cannot stand on his legs and they have to carry him.  The x-rays came back fine, and looked like he was going through an injury or fall.  Mom said that he has not hurt himself or had energy to climb or fall.  They told them to come back in 7 days and prescribed Motrin.  They went home and on Saturday took a nap and mom noticed that both knees were swollen and both feet were swollen.  Later that night his entire left leg is filled with hives all around that knee and also his whole entire leg.  Mom took him back to the hospital on Sunday morning as it looked like he ws getting worse by the hour.  He was admitted to the hospital, still cannot walk.  They ran tests.  While they were in the hospital his right leg started sweating, and what looked like red blood marks or bruises on his body, that was included with the hives and swelling and spread to the other let as well with swollen foot.  They put him on an IV, which messed up his arm, it swelled and his hands started swelling, and also the bruising marks on his entire body.  They moved the IV to the left arm, and it was fine with that arm.  The right arm was done with the IV and then the left hand started to swell.  He was given Insulin in the IV and everything else was by mouth, Ibuprofen, Motrin, one dose of Benadryl and mostly OTC.  She said the Insulin for antibiotics.  She is waiting for more reports from the hospital.  By Wednesday 3/6/24 they were sent home, they said that everytyhing was showing normal, blood work was normal, and the closest thing that they come up with JAI and HSP, and they diagnosed him with strept throat and it could have caused the reaction that he wsa receiving towards everything.  They asked questions about sore throat, etc.  They are still unsure of what exactly happened to him.  She got home and he worsened.  Due to the fact that he was given the Insulin they ended up prescribing him with Amoxacillin for the strept throat.  He was getting worse in the hospital and told them not give  him the medicine in the hospital and feels it may have been to not giving him the medicine.  The swelling went down and he still could not walk.  They were also rubbing coconut oil and apaphore on the legs and unknown marks rubbing down.  It gradually started healing the skin, and felt that this was working and that he was regularly eating.  A few days later he had no energy, and he is very energic on the autistic         scale, and totally would not get up, no crying, no mumbling and not eating.  He had thrown up one night and threw up what he ate.  The other time was throbbing up bile, and then after that he was still down, no emotion, could not get up, could not move other than when his diaper was changed.  He was on bedrest for quite a while.  Dad tried to give him some Amoxicillin 10 ml every 8 hours, and dad decided that since he was not eating gave him 1/2 to 2 ml of it.  The next morning he was up, moving around and had energy, ready to eat, but  he still could not walk due to the pain and discomfort that he had.  The energy, eating habit is now completely normal.  The skin is still going through the reaction and bumps.  He is still not fully walking and is another worry for the mom as he is 4 years old.  He was walking without any problems prior to the vaccine, and can barely walk.  She feels that with the medicine is that he pushes himself, but nothing like prior to the vaccines.   She said with the bruising that it looked like he was beat up and his ribs look bruised and were so sore that they could not be touched and state they think he has juvenile arthritis but ruled out that he had some sore of cancer.  He has bruising on the bottom of his foot and is walking on his tip toes and it is under the toes, ball of the foot but not heel.  That area is swollen, but is puffy but not read.  When you look on the swollen area can see the bruising on the skin, also on the other foot but this one was mostly on the left foot.  Something changes on him every day whether progression or something that they had not noticed before or something different.  They have been going through this for 3 weeks.  He is only taking Motrin for the swelling and the pain and now giving Amoxicillin at a lower dose, 5 ml.