Margaret V. Ragni, MD; Edward N. Hanley, MD
To the editor: Septic arthritis is an unusual complication of hemarthroses in patients with hemophilia. Although hemarthrosis and septic arthritis are both typically characterized by pain, warmth, and swelling of the affected joint, hemarthrosis is far commoner in hemophiliacs. Thus, joint aspiration is rarely attempted in hemophiliacs with swollen, painful joints. To date, septic arthritis has been reported in only 14 hemophiliacs (references available from the authors upon request); these cases most commonly affected the knee joint and were caused by Staphylococcus aureus acquired by hematogenous spread. However, although more than 50% of hemophiliacs are now infected with human immunodeficiency
Ragni MV, Hanley EN. Septic Arthritis in Hemophilic Patients and Infection with Human Immunodeficiency Virus (HIV). Ann Intern Med. ;110:168–169. doi: 10.7326/0003-4819-110-2-168_2
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Published: Ann Intern Med. 1989;110(2):168-169.
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