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The Journal of Bone and Joint Surgery 78:594-6 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Sudden Death of a Child Who Had Pain in the Knee and Varicella. A Case Report*

DYSON L. HAMNER, M.D.{dagger}, ROGER M. LYON, M.D.{ddagger} and JOHN B. EMANS, M.D.{dagger}, BOSTON, MASSACHUSETTS

Investigation performed at the Department of Orthopaedic Surgery, Children's Hospital, Boston


   Introduction
 
We report the case of a four-year-old girl who died within hours after she was seen for pain in the knee and varicella. The death was due to fulminant sepsis with group-A Streptococcus. The postmortem examination revealed a bacterial infection of the varicella skin lesions, which resulted in bacteremia leading to generalized sepsis. The pain in the knee was initially thought to be secondary to septic arthritis, varicella arthritis, or osteomyelitis, but it was diagnosed after death as septic popliteal thrombophlebitis associated with fulminant group-A streptococcal septicemia. We report the case of our patient to bring attention to this rare but life-threatening cause of pain in the knee.


   Case Report
 
A four-year-old girl was seen in the emergency room at Children's Hospital because of pain in the left knee of two days' duration. Two weeks before admission, she had an ear infection that was treated with sulfa compounds. Six days before admission, . . . [Full Text of this Article]


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