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  • Title: Osteomyelitis and septic arthritis due to Citrobacter freundii and Haemophilus influenzae type b.
    Author: Stricker T, Fröhlich S, Nadal D.
    Journal: J Paediatr Child Health; 1998 Feb; 34(1):90-1. PubMed ID: 9568950.
    Abstract:
    This report describes dual infection with Citrobacter freundii and Haemophilus influenzae type b causing septic arthritis and osteomyelitis of the elbow in a previously healthy 5-year-old boy. The patient was treated successfully with intravenous fosfomycin for 4 weeks. Infections with Citrobacter beyond the neonatal period are rare in paediatric patients. When Citrobacter spp. is isolated, coinfection with other bacterial pathogens should be considered.
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