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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 11, 1545-1548.
doi: 10.1302/0301-620X.87B11.16735  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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Clinical features and microbiology in 204 cases of septic arthritis in Malawian children

C. B. D. Lavy, MCh, FCS, FRCS, Professor1; M. Thyoka, MRCS, MCS, Registrar1; and A. D. Pitani, DipOrth, Clinical Officer1

1 Department of Surgery, Queen Elizabeth Central Hospital, Private Bag 360, Chichiri, Blantyre, Malawi, Africa.

Correspondence should be sent to Mr C. B. D. Lavy at BTCI Hospital, P. O. Box 31236, Blantyre 3, Malawi, Africa; e-mail: lavy{at}malawi.net

We examined 204 children (137 boys and 67 girls) aged 12 years and under with septic arthritis. Their mean age was 31.1 months (1 to 144; SD 41.6). The most common joints affected were the knees and shoulders. Joints in the upper limb were affected more often in younger children and in the lower limb in those who were older. The mean age for an infection was 12 months in the shoulder and 73 months in the hip. The most common organisms cultured were species of Salmonella.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General