Recurrent Fusobacterium pyogenic myositis of the rotator cuff A case report of recurrent Fusobacterium pyogenic myositis of the rotator cuff

McElnay, Philip; McCann, Philip; Williams, Martin; Wakeley, C.J.; Amirfeyz, Rouin

doi:10.4103/0973-6042.131854

Cited by 3 publications

(1 citation statement)

References 5 publications

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“…The shoulder joint capsule was not breached and thus was preserved from bacterial contamination. Another case described in the literature did note recurrence and required four open debridement procedures before the patient showed clinical improvement 6. As such, close monitoring of the patient’s postoperative clinical condition as well as monitoring inflammatory markers is highly encouraged.…”

Section: Discussionmentioning

confidence: 99%

Subscapularis pyomyositis: a rare presentation of shoulder pain

Jagernauth

Clough²,

Noorani

et al. 2018

BMJ Case Reports

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We present a rare case of a subscapularis pyomyositis in a 38-year-old woman and examine the diagnostic and surgical challenges posed. History and examination features were similar to that of septic shoulder arthritis without overlying features of warmth or erythema. Serological markers revealed a C-reactive protein of 221 mg/L and white cell count of 11.1×10/L. A dry shoulder aspirate was obtained. Contrast-enhanced MRI demonstrated a peripheral rim-enhancing lesion within the subscapularis muscle belly with lack of central enhancement. These features are consistently seen with an infective aetiology. A deltopectoral approach to surgical drainage was utilised and subsequent fluid cultures grew Panton-Valentine Leukocidin positive species. This rare bacterium is associated with an increased risk of osteomyelitis and despite making a full recovery, the patient was advised to reattend if any future shoulder pain was encountered.

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Section: Discussionmentioning

confidence: 99%