Bilateral shoulder septic arthritis in a fit and well 47-year-old man

Hotonu, Sesi; Khan, Shoaib; Jeavons, Richard

doi:10.1136/bcr-2015-211406

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…Signs and symptoms of septic arthritis consist of persistent joint pain without previous trauma, limited range of motion secondary to pain, edema, erythema, hypersensitivity, fever, and systemic signs of sepsis. Hotonu et al 18 in their retrospective review postulated that fever and joint stiffness were present in 40 and 21% of cases, respectively 20 . Laboratory findings may reveal high leukocyte count, increased erythrocyte sedimentation rate, and elevated levels of C-reactive protein.…”

Section: Discussionmentioning

confidence: 99%

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Bilateral septic arthritis of the shoulder: case report and literature review

Maia¹,

Silva²,

Santos³

et al. 2021

Arch Health Invest

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Bilateral shoulder septic arthritis is a rare condition in immunocompetent patients without known risk factors, therefore, it can be easily misdiagnosed. Septic arthritis is an emergency due to its potential to cause rapid destruction of cartilage and bone as well as the risk for systemic spread. Aggressive early treatment is crucial for easing pain, preventing joint collapse, and permanent loss of shoulder function. We presented a case report of a 68 years-old man, suffering from multiple comorbidities and bilateral shoulder septic arthritis. The patient underwent arthroscopic surgery in the left shoulder. Antibiotic therapy was carried out after the surgical procedure using clindamycin. The patient had a satisfactory outcome, characterized by regression of the inflammatory symptoms in both shoulders. There was an improvement in pain and fevers settled. In this case report, we have also discussed treatment options as well as possible outcomes.

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Section: Discussionmentioning

confidence: 99%

“…Bilateral occurrence in the shoulder is exceedingly rare, and we have found only one case reported in the medical literature. The case published by Hotonu et al described a 47-year-old previously healthy man without relevant risk factors for the presentation 18,19 .…”

Section: Discussionmentioning

confidence: 99%

Bilateral septic arthritis of the shoulder: case report and literature review

Maia¹,

Silva²,

Santos³

et al. 2021

Arch Health Invest

View full text Add to dashboard Cite

show abstract

“…Isolated bilateral glenohumeral septic arthritis is exceedingly rare since polyarticular septic arthritis usually includes knee involvement [6] . There are no current guidelines or outcome studies on managing patients with bilateral shoulder septic arthritis [8] . Comorbidities are present in as many as 87% of patients with unilateral glenohumeral involvement [9] .…”

Section: Discussionmentioning

confidence: 99%

Bilateral glenohumeral septic arthritis secondary to mastitis with subsequent avascular necrosis: A case report

Maranya

Mutiso

2021

International Journal of Surgery Case Reports

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Introduction and importance Septic arthritis is an orthopaedic emergency. Only 3% of septic arthritis patients present with glenohumeral involvement. Polyarticular disease with shoulder involvement constitutes 1% of this group. There is currently no documented case of bilateral glenohumeral septic arthritis with avascular necrosis secondary to mastitis. Case presentation We present a case of a 38-year-old African woman with bilateral glenohumeral septic arthritis after management for mastitis of the left breast. She had left, then right shoulder pain, fever, and reduced range of motion, with multiple arthroscopic washouts and antibiotic therapy instituted at various hospitals by various specialists, leading to the resolution of active infection. The patient developed bilateral humeral head avascular necrosis with complete collapse as evidenced on plain radiography 4 months later, and underwent hemiarthroplasty of the right shoulder. Biopsy at operation showed no active bone infection, and inflammatory markers were not elevated. She had reduced discomfort for the following 2 years but developed increasing pain on lifting and reduced range of motion. The moderate symptoms in her left shoulder managed non-operatively had remained unchanged. There were no elevated inflammatory markers 2-years post arthroplasty. Clinical discussion This case presents an uncommon scenario of bilateral septic arthritis secondary to mastitis, with rapid progression to avascular necrosis in an individual with no classical risk factors for avascular necrosis, despite appropriate antibiotic treatment and surgical interventions. Advanced collapse necessitated hemiarthroplasty of the dominant right side. Conclusion This case highlights the need for close radiographic follow-up in atypical presentations of septic arthritis and the dilemmas in managing advanced bilateral avascular necrosis with arthroplasty in a young patient.

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Etiology of Glenohumeral Osteoarthritis in the Young Patient

Young

Saltzman

2022

Glenohumeral Osteoarthritis in the Young Patient

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Bilateral shoulder septic arthritis in a fit and well 47-year-old man

Cited by 3 publications

References 11 publications

Bilateral septic arthritis of the shoulder: case report and literature review

Bilateral septic arthritis of the shoulder: case report and literature review

Bilateral glenohumeral septic arthritis secondary to mastitis with subsequent avascular necrosis: A case report

Etiology of Glenohumeral Osteoarthritis in the Young Patient

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