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The case of a young patient who was misdiagnosed with and treated for septic arthritis, instead of haemophilic arthropathy, raises issues around the need for greater awareness of bleeding disorders in developing countries such as Uganda.The patient lives with his mother, his paternal grandmother and eight brothers and sisters in a one-room house. One brother has also been diagnosed with haemophilia and two sisters show bleeding tendencies; another brother died from bleeding most probably related to undiagnosed haemophiliaWhen the patient presented to the physiotherapy department at Mulago Hospital, he had a valgus deformity on the right knee, which was fixed in extension. Through a programme of physiotherapy focusing on functional activities, the condition of his knee and general quality of life have improved significantly