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BMJ 2006;333 (25 November), doi:10.1136/bmj.333.7578.0-c
Septic arthritis can occur in more than one joint and the diagnosis should not be missed, say Christodoulou and colleagues (doi: 10.1136/bmj.39020.401331.68) in their lesson of the week. The authors reflect on their management of an elderly man who presented with painful swelling of both knees and a wrist, in whom a diagnosis of reactive arthritis was initially suspected. After the patient's condition worsened, pus was aspirated from the joints and cultured; this led to the discovery of a sinister underlying disease process.
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