All writers agree that pneumococcic arthritis is a rare disease, and the discussion of the disease is in most instances limited to the making of this observation. This is true in the eight reviews of "rheumatism and arthritis"1 which cover the American and British literature for the years 1935 through 1940. These eight reviews cite only 1 case of pneumococcic arthritis, that of Instone,2 and this case seems open to question on the grounds that it does not fit the clinical picture of pneumococcic arthritis and the only proof of etiology is the growth of pneumococci from a throat swab.
The literature of pneumococcic arthritis consists of a series of case reports, and it is of interest to note that several of the best reviews of the subject have been prompted by the observations of single cases.3 The fact that few observers have seen more than 1
BOGER WP. PNEUMOCOCCIC ARTHRITISREPORT OF CASE OF SO-CALLED PRIMARY PNEUMOCOCCIC ARTHRITIS. JAMA. 1944;126(17):1062–1065. doi:10.1001/jama.1944.02850520004003
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