To the Editor: Drs. Goldenberg and Reed, in their timely review of bacterial arthritis (March 21 issue),1 have made two statements that require specific comment. To describe Hemophilus influenzae as a common cause of neonatal septic arthritis is somewhat misleading. Although H. influenzae is a frequent pathogen in infant and childhood septic arthritis,2,3 its isolation in neonates with septic arthritis is relatively uncommon. Staphylococcus aureus, Group B streptococcus, and gram-negative enteric bacteria are most commonly isolated from the infected joints of children less than one month old.4,5 The relative rarity of H. influenzae isolation may be due to passive.
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