{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T08:38:39Z","timestamp":1792658319294,"version":"4.5.0"},"reference-count":26,"publisher":"American Academy of Pediatrics (AAP)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,1]]},"abstract":"<jats:p>We report the case of a previously healthy, 6-year-old boy who presented with 2\u00a0days of generalized body aches. Given a recent viral illness with cough and congestion, the emergency department\u2019s initial diagnosis of the condition was viral myositis. He was admitted for pain treatment. During his hospitalization, he developed worsening pain, decreased mobility, and intermittent nocturnal desaturations. The team elicited additional history of snoring and witnessed apneas, which raised concern for obstructive sleep apnea. They consulted pulmonology who was concerned for central sleep apnea and respiratory depression and recommended consulting neurology. Neurology recommended a lumbar puncture, the results of which led to the eventual diagnosis. This case highlights the importance of critical reasoning and knowledge of the pediatric presentation of diseases that affect both adults and children.<\/jats:p>","DOI":"10.1542\/peds.2025-074738","type":"journal-article","created":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:03:07Z","timestamp":1781740987000},"source":"Crossref","is-referenced-by-count":0,"title":["A 6-Year-Old Boy With Body Aches"],"prefix":"10.1542","volume":"158","author":[{"given":"Princess I.","family":"Ogundu","sequence":"first","affiliation":[{"name":"1Pediatric Residency Program, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"India","family":"Bradley","sequence":"additional","affiliation":[{"name":"1Pediatric Residency Program, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio"},{"name":"2Internal Medicine Residency Program, University of Cincinnati Medical Center, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ogorchi","family":"Ujari","sequence":"additional","affiliation":[{"name":"1Pediatric Residency Program, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Hjelm","sequence":"additional","affiliation":[{"name":"3Division of Pulmonary Medicine, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio"},{"name":"4Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileen M.","family":"Broomall","sequence":"additional","affiliation":[{"name":"4Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio"},{"name":"5Division of Neurology, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio"},{"name":"6Division of Neurology, Mayo Clinic Children\u2019s, Rochester, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armand H. 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