We hereby report the case of a primary acromioclavicular septic arthritis caused by . This bacteria is rare as a pathogen but is well known as a commensal of the lungs, vagina, mouth, and gastrointestinal tract of humans. However, it may turn as an opportunistic pathogen. It was isolated in blood culture and confirmed in biopsy specimen. The patient had complete recovery after surgical washout with second look at postoperative day two and targeted antibiotic treatment.
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http://dx.doi.org/10.1155/2019/7106252 | DOI Listing |
Orthopadie (Heidelb)
December 2024
Orthopaedics and Traumatology Department, Kantonsspital Zug, Baar, Switzerland.
Introduction: We report the case of a 54-year-old male with the rare entity of bilateral septic acromioclavicular (AC) arthritis with osteomyelitis of the lateral clavicle with methicillin-susceptible Staphylococcus aureus (MSSA). The glenohumeral joint was affected as well. The patient was immunocompetent with no history of diabetes or intravenous drug abuse.
View Article and Find Full Text PDFCureus
July 2024
Orthopaedics, SRM Medical College, Chennai, IND.
A 60-year-old diabetic patient presented with acute pain and swelling localized to the left acromioclavicular joint. Laboratory and radiological investigations revealed the presence of pus in the left acromioclavicular joint along with bony erosion of the lateral end of the left clavicle. She was treated with open arthrotomy, debridement, and appropriate antibiotics for the causative methicillin-resistant Staphylococcus aureus (MRSA) infection.
View Article and Find Full Text PDFJ Educ Teach Emerg Med
January 2024
University of California, Irvine, Department of Emergency Medicine, Orange, CA.
Unlabelled: Septic arthritis of native joints is uncommon, but the condition can be threatening to life and limb if left untreated.1 Septic arthritis of the acromioclavicular (AC) joint of the shoulder is particularly rare and has only appeared sparsely in medical literature, mainly through individual case reports. Early recognition and treatment of the condition is vital, but diagnosis of septic AC arthritis can be difficult due to its presentation with vague symptoms and nonspecific laboratory findings.
View Article and Find Full Text PDFAccess Microbiol
December 2022
HCA Houston Healthcare Kingwood 22999, US-59 N Kingwood, TX 77339, USA.
Bacteraemia is known to cause serious complications including metastatic infections such as infective endocarditis, vertebral osteomyelitis, iliopsosas abscesses and septic arthritis. Bilateral septic arthritis, however, is a rare medical emergency with limited previous reports. species are the most common organisms identified as a result of suspected haematogenous spread from bacteraemia, direct inoculation or translocation from adjacent tissues.
View Article and Find Full Text PDFOrthop Rev (Pavia)
July 2022
Emergency Medicine, University of Central Florida College of Medicine.
The objective of this case report is to highlight the importance of continued examination and evaluation to correctly diagnose and treat the rare condition of acromioclavicular osteomyelitis and associated septic arthritis. A 51-year-old diabetic male presented with right shoulder pain and overlying cellulitis without history of trauma, intravenous (IV) drug use, lacerations, prostheses or endocarditis later developed septic arthritis and osteomyelitis of the acromion and distal clavicle requiring operative management. Decision to re-image the joint using magnetic resonance imaging (MRI) with contrast after lack of symptomatic improvement was key to making the diagnosis.
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