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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 serotype B (Hib) is commonly associated with infants and young children and was once the most common cause of severe bacterial infection in children. Due to widespread use of Hib vaccine in children, few cases are reported each year.aemophilus influenzae causes a variety of illnesses including meningitis (inflammation of the coverings of the spinal column and brain), bacteremia (infection of the blood), pneumonia (infection of the lungs), and septic arthritis (infection of the joints).