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PEDIATRICS Vol. 104 No. 4 October 1999, pp. 967-969

EXPERIENCE AND REASON:
Varicella Complicated by Group A Streptococcal Sepsis and Osteonecrosis

Received Oct 19, 1998; accepted Apr 23, 1999.

Dan Kouwabunpat*, Jill HoffmanDagger , and Robert Adler§

* Division of General Pediatrics Dagger  Division of Infectious Disease § Department of Pediatrics Childrens Hospital Los Angeles Los Angeles, CA 90027

A 5-year-old boy presented with primary varicella zoster virus infection, group A streptococcal sepsis, toxic shock, and multisite osteonecrosis. An association between osteonecrosis and group A streptococcal sepsis has not been previously reported. Clinical recognition with supportive radiologic and pathologic findings are presented. Therapeutic guidelines are suggested.

 Key words:  osteonecrosis, Group A streptococcal sepsis, varicella zoster virus.




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