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.
Division of Pediatric Hematology and Oncology, Mayo Clinic, Rochester, MN 55905, USA.
Ruetima
R
Titapiwatanakun
Rajiv K
RK
Pruthi
Kirstin
K
Schmidt
Jeffrey A
JA
Slaby
Vilmarie
V
Rodriguez
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