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A child with Kohlerâs disease may present similarly to a child with a foot injury. An examination will reveal pain and tenderness over the dorsomedial midfoot, with or without local skin changes. Affected children typically walk with a limp or antalgic gait, with weight bearing on the lateral side of the foot.
Haemophilus Influenzae type b (Hib) is a serious bacterial infection that can cause acute bacterial meningitis, pneumonia, seizures, permanent deafness and mental retardation. Even with treatment, as many as 1 out of 20 children with Hib meningitis die.