“Can I go play?”
“Jackson was two at the time. He had been sick, just a regular cough, so I took him to the doctor and they were like, ‘Oh, it's just a regular cold.’ But the next day he couldn't walk.” Coach Kyra Elzy handles stress better than the average person. The head coach of the Kentucky Women’s Basketball team, she stays cool under fire—whether it’s in the tense final moments of a game or at home, as a mom. So when her son Jackson had an unexpected reaction to a run-of-the-mill illness, she didn’t panic.
“They diagnosed him with croup, and his pediatrician said, ‘We're going to give him a steroid shot. Sometimes croup goes to their legs. He'll be walking in 24 hours.’ Which he was. But as I was getting dressed for a game, my mom called and said, ‘He quit walking again.’ So we went back to the pediatrician and she said, ‘He has to get to Kentucky Children's Hospital now. Emergency.’”
That was when the panic set in. Coach Elzy rushed Jackson to the Makenna David Pediatric Emergency Center at Kentucky Children’s Hospital, where he was taken into emergency surgery to determine the cause of his symptoms.
“He had what we call septic arthritis of the hip,” said Dr. Laura Stadler, the pediatric infectious disease specialist who cared for Jackson.
“Children under the age of three, particularly those who are in childcare, can have colds, which he definitely had. And then, for reasons we don't fully understand, the bacteria can get into the blood, and [in Jackson’s case] set up housekeeping in the hip. The bacteria gets into the bloodstream and causes a local infectious and inflammatory response.”
Jackson’s surgeons took a sample from his inflamed hip to help confirm the type of bacteria that was causing his symptoms, then drained the infection from around his hip joint. The procedure took less than an hour.
Based on Jackson’s condition, age, and the sample of joint fluid from his hip, Dr. Stadler strongly suspected that the culprit behind his infection was an organism called Kingella kingae, and prescribed a specific course of antibiotics to treat it.
Jackson stayed in the hospital for three more days as he recovered from surgery and his team monitored how he responded to the treatment.
“We were afraid that he was never going to walk again,” said Coach Elzy. “I couldn't imagine that experience without that team of doctors and nurses there. I was struck by the empathy, the sympathy, also just them educating us. I had no idea—I didn't even know croup could do this.”
Once he was on the right course of antibiotics, Jackson’s condition improved rapidly.
“Oftentimes when I go back to see a child a day or two later, they might be bouncing on their crib, or they're running around the room. Jackson was winking at the nurses and smiling—he's a little flirt to take care of. Two days into his hospitalization, he was really antsy, asking, ‘Can I go play? Can I go do stuff?’”
Jackson was on antibiotics for nearly a month to ensure his body was clear of the infection. With no risk factors or pre-existing conditions, he had a good chance to return to his usual active, bouncy self after completing his treatment.
“He is wild and back to normal,” said Coach Elzy. “After that incident, we had to follow up with UK HealthCare’s pediatric orthopaedic specialists for two years to make sure that his growth plates and leg were fine. And every time we went there, they made our experience amazing. Jackson always thought it was like playtime—he didn't realize he was there to get his leg checked, because he was so infatuated with the toys and the stickers and the suckers. He was wild and jumping off tables. But their attention to detail and making a little one feel secure—they get two thumbs up.”