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From: Human Immunodeficiency Virus Infection97 Red Book® 2015, 2015 Figure Legend: A HIV-infected girl with granulocytopenia and Staphylococcus aureus bacteremia. Note the presence of multiple necrotic skin lesions. The left thigh is held in a position of flexion, abduction, and external rotation, indicating the presence of septic arthritis of the hip. The left calf is erythematous, swollen, and indurated secondary to cellulitis and myositis. Minor and serious bacterial infections, including bacteremia, are observed commonly among HIV-infected children. Streptococcus pneumoniae is the pathogen isolated most frequently, but S aureus also must be considered, particularly if there is a skin or soft tissue focus of infection. Copyright Baylor International Pediatric AIDS Initiative/Mark Kline, MD, FAAP Date of download: 8/12/2017 Copyright © 2017 American Academy of Pediatrics. All rights reserved.