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Canadian Journal of Infectious Diseases
Volume 5, Issue 1, Pages 33-36
Case Report

Multiple Pyarthrosis in Human Immunodeficiency Virus-Infected Hemophiliacs

Alistair Ingram, Martin J Inwood, Dan Gregson, and Michael Coppolino

Department of Medicine, University of Western Ontario, Faculty of Medicine, St Joseph’s Health Centre, London, Ontario, Canada

Received 2 September 1992; Accepted 16 December 1992

Copyright © 1994 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Classically, a swollen, painful joint in a patient with hemophilia has been considered to be due to a hemarthrosis until otherwise proven, and treated immediately with appropriate coagulation factor replacement. Two cases of human immunodeficiency virus (hiv)-infected hemophiliacs presenting with an initial apparent hemarthrosis, complicated subsequently by numerous pyarthroses and sepsis are described. In light of the prevalence of hiv infection in the adult hemophiliac population with arthropathy, a reappraisal of the clinical caveat of immediate infusion without joint aspiration is required.