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October 1958

Hemophilus Pyarthrosis in an Adult

Author Affiliations

Washington, D. C.

Assistant in Medicine (Dr. Dyer); Professor of Medicine (Dr. Romansky); Assistant in Medicine (Dr. Holmes), George Washington University School of Medicine.; The Department of Medicine, George Washington University School of Medicine, and the George Washington Medical Division, District of Columbia General Hospital.

AMA Arch Intern Med. 1958;102(4):580-583. doi:10.1001/archinte.1958.00260210066010

Hemophilus influenzae is rarely the causative organism of suppurative arthritis or infection in general in adults.1 A review of the literature reveals that Hemophilus pyarthrosis occurs more commonly in infants and in many cases is associated with meningitis. Infections with this microorganism other than pyarthrosis have been successfully treated with incision and drainage, and with every antibiotic in current use. The accompanying Table outlines the pertinent data from the literature.

It is our purpose to present the case of the second adult patient with Hemophilus influenzae pyarthrosis.

Report of Case  The patient, a 48-year-old Negro laundress, was admitted on Dec. 4, 1956. Her chief complaint was a painful left shoulder and ankle joints of six days' duration. She had been well until the onset of an upper respiratory infection about two weeks prior to entry. Eight days later the left shoulder and ankle joints became hot, red, tender, and

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