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Sept 30, 1968

Pyarthrosis of the Hip Complicating Chickenpox

Author Affiliations

Ann Arbor, Mich

JAMA. 1968;206(1):135-136. doi:10.1001/jama.1968.03150010083035

To the Editor:—  This case is an example of a rare but serious complication of a common childhood disease. Serious complications of chickenpox are now relatively rare. They were more frequent during the preantibiotic era, however, when the most common complication was secondary bacterial infection. Streptococci or staphylococci, usually introduced into the lesions by scratching, resulted in furuncles, impetigo, erysipelas, or septicemia.1,2 Bone or joint infections have been rarely reported as sequels to chickenpox. Slowick3 had one case of septic arthritis of the hip, and Green and Shannon4 had two cases of osteomyelitis following chickenpox; in neither instance were any details reported.

Report of a Case:—  The patient was 4 years old in May 1964, when the characteristic symptoms and skin lesions of chickenpox developed in the patient and three siblings. Seven days later the patient complained of pain in the anterior part of the right thigh