Bacterial endocarditis and septic arthritis in a patient with severe hemophilia A: a case report.
Central venous access devices are commonly used in the care of pediatric patients with hemophilia. Bacteremia associated with this type of venous access is common. We describe a patient with severe hemophilia A who had development of septic arthritis and endocarditis secondary to multiple episodes of bacteremia associated with a central venous access device. Endocarditis and septic arthritis in patients with hemophilia are rare infectious complications but should be considered in patients with persistent bacteremia.
Titapiwatanakun
Ruetima
R
Division of Pediatric Hematology and Oncology, Mayo Clinic, Rochester, MN 55905, USA.
Pruthi
Rajiv K
RK
Schmidt
Kirstin
K
Slaby
Jeffrey A
JA
Rodriguez
Vilmarie
V
D001170:Arthritis, Infectious / Q000209:etiology*; D016470:Bacteremia / Q000209:etiology; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002648:Child; D004697:Endocarditis, Bacterial / Q000209:etiology*; D005169:Factor VIII / Q000008:administration & dosage*; D006467:Hemophilia A / Q000188:drug therapy*; D006801:Humans; D008297:Male; D012720:Severity of Illness Index
D005169:Factor VIII