Open AccessBilateral septic arthritis of the shoulder: case report and literature review
Author(s) -
Roberto Maia,
Lucas Fraga Cunha da Silva,
Herbert Nascimento dos Santos,
Fernando Antônio Batista Andrade,
Marcos Almeida Matos,
Rogério Meira Barros,
Marcus Vinícius Silva Santos,
Aleixo Abreu Tanure,
Luis Guilherme Rosifini Alves Rezende
Publication year - 2021
Publication title -
archives of health investigation
Language(s) - English
Resource type - Journals
ISSN - 2317-3009
DOI - 10.21270/archi.v10i2.5314
Subject(s) - medicine , septic arthritis , shoulders , surgery , arthritis , clindamycin , antibiotics , microbiology and biotechnology , biology
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.