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Updated: Aug 24, 2026

Knee Arthrocentesis in Adults
Published on: February 25, 2022
Septic arthritis of the elbow after chickenpox
Arpad Konyves1, Sunny D Deo, James R D Murray
1Department of Orthopaedics, Frenchay Hospital, Bristol, UK.
Abstract:
Musculoskeletal complications following chickenpox are rare among immunologically normal children. Septic arthritis after varicella is caused by group A Streptococcus and affects the knee most frequently. We present a case of septic arthritis of the elbow caused by Staphylococcus aureus. We review the English language literature on septic arthritis complicating chickenpox. We conclude that diagnosis and treatment should be carried out according to guidelines on de novo septic arthritis including the early use of magnetic resonance imaging.
Insights
Musculoskeletal complications like septic arthritis are rare after chickenpox (varicella) in healthy children. Early MRI is crucial for diagnosing and treating this rare complication, regardless of the causative bacteria.
Area of Science:
- Pediatric infectious diseases
- Musculoskeletal infections
Background:
- Chickenpox (varicella) is a common viral illness in children.
- Musculoskeletal complications, such as septic arthritis, are infrequent sequelae.
Observation:
- A rare case of elbow septic arthritis caused by Staphylococcus aureus following chickenpox is presented.
- Literature review indicates Group A Streptococcus is the most common pathogen, typically affecting the knee.
Findings:
- Septic arthritis post-chickenpox can be caused by various bacteria, including Staphylococcus aureus.
- Diagnosis and management should follow established guidelines for de novo septic arthritis.
Implications:
- Early Magnetic Resonance Imaging (MRI) is recommended for prompt diagnosis.
- Timely and appropriate treatment is essential for favorable outcomes in pediatric septic arthritis.
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