Tip-Toe Walk After Acute Viral Illness: A Pediatric Case Report

Abstract

A school going, 5 years old vaccinated baby boy presented in Outdoor Patient Department with complaints of tip-toe walk and difficulty in walking associated with pain in both lower legs since morning; after having an acute viral illness 4 days back. Neurological examination was unremarkable without any significant positive findings. Lab investigation was advised in the form of serum creatine kinase level which was significantly elevated leading to diagnosis of Acute Viral Myositis. Oral Ibuprofen was advised. The child was kept under observation to document rhabdomyolysis; a complication of acute viral myositis. Signs and symptoms were resolved within 48 hours without any specific treatment.