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Arthroscopic lavage of the joint yielded purulent fluid and gross synovitis involving the entire joint.<jats:italic>Streptococcus pneumoniae<\/jats:italic>was isolated from the synovial fluid, although the patient had been immunised with Prevenar (pneumococcal vaccine). Postoperative empiric treatment with antibiotics for 6\u2005weeks was started. Follow-up of 2\u2005years revealed a healthy girl with a full range of motion of her elbow and no signs of complications. This case of septic arthritis emphasises the importance of the clinical presentation to determine the correct diagnosis and treatment modalities.<\/jats:p>","DOI":"10.1136\/bcr-2014-205204","type":"journal-article","created":{"date-parts":[[2014,6,30]],"date-time":"2014-06-30T13:09:54Z","timestamp":1404133794000},"page":"bcr2014205204","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Septic arthritis of the elbow with<i>Streptococcus pneumoniae<\/i>in a 9-month-old girl"],"prefix":"10.1136","volume":"2014","author":[{"given":"Tabea","family":"Haas","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark S","family":"Gaston","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erich","family":"Rutz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlo","family":"Camathias","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,6,30]]},"reference":[{"key":"2025042705594023000_2014.jun30_1.bcr2014205204.1","unstructured":"Hefti F Freuler F Hinchcliffe R . 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