Kinderarztliche Praxis 1990-Jul
[The differential diagnosis of hemarthrosis--septic arthritis in patients with hemophilia].
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A 12-year-old boy with severe hemophilia A fell ill with high fever and painful swelling of joints. There was a delay of four days in the diagnosis of septic arthritis. The course of the disease shows some important distinguishing criteria, speaking in favour of septic arthritis: 1. longlasting temperature above 39 degree C; 2. an elevated peripheral leukocyte count; 3. increasing complaints despite normalisation of the coagulation defect.