Pseudomonas Oryzihabitans bacteremia in a child with sickle cell disease

After one day of hospitalization, the pain improved on the right hip joint and started in the left hip side which radiated to the left knee with limitation of movement. Past history revealed twice blood transfusions; the last one was 3 months before the current admission. Physical examination revealed a child who was in pain, score of 8 (Wong Baker pain scale, range 0-10 with 10, it hurts and worst), conscious, alert, with no pallor or jaundice. The chest and heart examination was within normal. There was no organomegaly. His body weight was 26 kilograms, above the 10th percentile; his height 130 centimeters on the 10th percentile; his temperature 36.7°C.