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Pediatric Infectious Disease Journal:
doi: 10.1097/INF.0b013e318223c0d8
Instructive Cases

Varicella Arthritis in Childhood: A Case Report and Review of the Literature

Bevilacqua, Sibylle MD*; Poircuitte, Jean-Manuel MD†; Boyer, Laurence MD*; May, Thierry MD, PhD*; Lascombes, Pierre MD, PhD†; Venard, Véronique PhD‡

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Abstract

Nonbacterial arthritis is a rare but well-recognized complication of acute varicella in children. Reported cases usually described monoarthritis of the knee that occurs at the onset of the rash or shortly after. Herein, we describe a case of arthritis of the hip that occurred in a 4-year-old girl 6 days before the onset of rash. The presence of varicella-zoster virus DNA in synovial fluid was confirmed by real-time polymerase chain reaction. A review of the literature reported 26 previous cases of aseptic arthritis due to varicella infection among children.

© 2011 by Lippincott Williams & Wilkins, Inc.

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