Bilateral septic arthritis of the shoulder: case report and literature review
DOI:
https://doi.org/10.21270/archi.v10i2.5314Palavras-chave:
Artrite Infecciosa, Ombro, SepseResumo
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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Jiang JJ, Piponov HI, Mass DP, Angeles JG, Shi LL. Septic arthritis of the shoulder: a comparison of treatment methods. J Am Acad Orthop Surg. 2017;25(8):e175-84.
Memon M, Kay J, Ginsberg L, de Sa D, Simunovic N, Samuelsson K et al. Arthroscopic management of septic arthritis of the native shoulder: a systematic review. Arthroscopy. 2018;34(2):625-46.e1.
Leslie BM, Harris JM 3rd, Driscoll D. Septic arthritis of the shoulder in adults. J Bone Joint Surg Am. 1989;71(10):1516-22.
Le Dantec L, Maury F, Flipo RM, Laskri S, Cortet B, Duquesnoy B, Delcambre B. Peripheral pyogenic arthritis. A study of one hundred seventy-nine cases. Rev Rhum Engl Ed. 1996;63(2):103-10.
Lossos IS, Yossepowitch O, Kandel L, Yardeni D, Arber N. Septic arthritis of the glenohumeral joint. A report of 11 cases and review of the literature. Medicine (Baltimore). 1998; 77(3):177-87.
Herrera MF, Bauer G, Reynolds F, Wilk RM, Bigliani LU, Levine WN. Infection after mini-open rotator cuff repair. J Shoulder Elb Surg. 2002;11(6):605-8.
Jerosch J. Akuter Gelenkinfekt. Diagnostik und Therapie [Acute joint infection--diagnosis and treatment]. Orthopade. 2004;33(11):1309-18; quiz 1319-20.
Klinger HM, Baums MH, Freche S, Nusselt T, Spahn G, Steckel H. Septic arthritis of the shoulder joint: an analysis of management and outcome. Acta Orthop Belg. 2010;76(5):598-603.
Garofalo R, Flanagin B, Cesari E, Vinci E, Conti M, Castagna A. Destructive septic arthritis of shoulder in adults. Musculoskelet Surg. 2014;98(Suppl 1):35-9.
Abdel MP, Perry KI, Morrey ME, Steinmann SP, Sperling JW, Cass JR. Arthroscopic management of native shoulder septic arthritis. J Shoulder Elbow Surg. 2013;22(3):418-21.
Gelberman RH, Menon J, Austerlitz MS, Weisman MH: Pyogenic arthritis of the shoulder in adults. J Bone Joint Surg Am 1980;62(4):550-53.
Duncan SF, Sperling JW. Treatment of primary isolated shoulder sepsis in the adult patient. Clin Orthop Relat Res. 2008;466(6):1392-96.
Jeon IH, Choi CH, Seo JS, Seo KJ, Ko SH, Park JY. Arthroscopic management of septic arthritis of the shoulder joint. J Bone Joint Surg Am. 2006;88(8):1802-806.
Kennedy N, Chambers ST, Nolan I, Gallagher K, Werno A, Browne M et al. Native joint septic arthritis: epidemiology, clinical features, and microbiological causes in a New Zealand population. J Rheumatol. 2015;42(12):2392-97.
Weston VC, Jones AC, Bradbury N, Fawthrop F, Doherty M. Clinical features and outcome of septic arthritis in a single UK Health District 1982-1991. Ann Rheum Dis.1999;58(4):214-19.
Maneiro JR, Souto A, Cervantes EC, Mera A, Carmona L, Gomez-Reino JJ. Predictors of treatment failure and mortality in native septic arthritis. Clin Rheumatol. 2015;34(11):1961-67.
van den Ende KI, Steinmann SP. Arthroscopic treatment of septic arthritis of the elbow. J Shoulder Elbow Surg. 2012;21(8):1001-5.
Hotonu SA, Khan S, Jeavons R. Bilateral shoulder septic arthritis in a fit and well 47-year-old man. BMJ Case Rep. 2015; 2015: bcr2015211406.
Smith JW, Hasan MS. Infectious arthritis. In: Mandell GL, Bennett JE, Dolin R (eds). Principles and practice of infectious diseases. Philadelphia: Churchill Livingstone; 2000.p.1175-82.
Dubost JJ, Fis I, Denis P, Lopitaux R, Soubrier M, Ristori JM et al. Polyarticular septic arthritis. Medicine (Baltimore). 1993;72(5):296-310.
Schlapbach P, Ambord C, Blöchlinger AM, Gerber NJ. Bacterial arthritis: are fever, rigors, leucocytosis and blood cultures of diagnostic value? Clin Rheumatol. 1990;9(1):69-72.
Gupta MN, Sturrock RD, Field M. A prospective 2-year study of 75 patients with adult-onset septic arthritis. Rheumatology. 2001;40(1):24-30.
Mehta P, Schnall SB, Zalavras CG. Septic arthritis of the shoulder, elbow, and wrist. Clin Orthop Relat Res. 2006;451:42-5.
Assunção JH, Noffs GG, Malavolta EA, Gracitelli MEC, Lima ALM, Ferreira Neto AA. Septic arthritis of the shoulder and elbow: one decade of epidemiological analysis at a tertiary referral hospital. Rev bras ortop. 2018;53(6):707-13.
Sanbandam NS, Atturu M. A case of septic arthritis of shoulder presenting as stiffness of the shoulder. J Orthop Case Rep. 2016;6(2):31-3.
Garner AJ, Sundram F, Harris K. Group C Neisseria meningitidis as a cause of septic arthritis in a native shoulder joint: a case report. Case Rep Orthop. 2011;2011:862487.
Moon JG, Biraris S, Bilaris S, Jeong WK, Kim JH. Clinical resultsafter arthroscopic treatment for septic arthritis of the elbowjoint. Arthroscopy. 2014;30(6):673-78
Kirchhoff C, Braunstein V, Buhmann Kirchhoff S, Oedekoven T, Mutschler W, Biberthaler P. Stage-dependant management of septic arthritis of the shoulder in adults. Int Orthop. 2009;33(4):1015-24.
Hunter JG, Gross JM, Dahl JD, Amsdell SL, Gorczyca JT. Risk factors for failure of a single surgical debridement in adults with acute septic arthritis. J Bone Joint Surg Am. 2015;97(7):558-64.
Gramlich Y, Klug A, Walter G, Kremer M, Hoffmann R, Kemmerer M. Septic Arthritis of Native Shoulder and Knee Joint: What Are the Differences in Bacterial Spectrum, Treatment, and Outcome? Surg Infect (Larchmt). 2020;21(4):391-97.
Pommering TL, Wroble RR. Septic arthritis of the shoulder: treating an atypical case. Phys Sportsmed. 1996;24(5):74-85.
Dessie SA, Dobariya V, Singh D, He P. A Case of Morganella morganii-induced Fetal Demise. Cureus. 2020;12(3):e7169.
Griffin PL, Griffin GD, Simon EL. Spontaneous septic arthritis in a patient without trauma, coinfection, or immunosuppression. Am J Emerg Med. 2013;31(11):1623.e3-4.
Burk DL Jr, Karasick D, Mitchell DG, Rifkin MD. MR imaging of the shoulder: correlation with plain radiography. AJR Am J Roentgenol. 1990;154(3):549-53.
Gompels BM, Darlington LG. Septic arthritis in rheumatoid disease causing bilateral shoulder dislocation: diagnosis and treatment assisted by grey scale ultrasonography. Ann Rheum Dis. 1981;40(6):609-11.
Resnik CS. Septic arthritis: a rare cause of drooping shoulder. Skeletal Radiol. 1992;21(5):307-9.
Sussmann AR, Cohen J, Nomikos GC, Schweitzer ME. Magnetic resonance imaging of shoulder arthropathies. Magn Reson Imaging Clin N Am 2012;20(2):349-71.
Lee DK, Rhee SM, Jeong HY, Ro K, Jeon YS, Rhee YG. Treatment of acute shoulder infection: can osseous lesion be a rudder in guideline for determining the method of débridement? J Shoulder Elbow Surg. 2019;28(12):2317-25.
Newman JH. Review of septic arthritis throughout the antibiotic era. Ann Rheum Dis. 1976;35(3):198-205.
Berthoud O, Coiffier G, Albert JD, Gougeon-Jolivet A, Goussault C, Bendavid C et al. Performance of a new rapid diagnostic test the lactate/glucose ratio of synovial fluid for the diagnosis of septic arthritis. Joint Bone Spine. 2020;87(4):343-50.
Johns BP, Loewenthal MR, Dewar DC. Open Compared with Arthroscopic Treatment of Acute Septic Arthritis of the Native Knee. J Bone Joint Surg Am. 2017;99(6):499-505.
Stutz G, Kuster MS, Kleinstück F, Gächter A. Arthroscopic management of septic arthritis: stages of infection and results. Knee Surg Sports Traumatol Arthrosc. 2000;8(5):270-74.
Rühmann O, Schmolke S, Bohnsack M, Flamme C, Wirth CJ. Shoulder arthrodesis: indications, technique, results, and complications. J Shoulder Elbow Surg. 2005;14(1):38-50.
Joo YB, Lee WY, Shin HD, Kim KC, Kim YK. Risk factors for failure of eradicating infection in a single arthroscopic surgical procedure for septic arthritis of the adult native shoulder with a focus on the volume of irrigation. J Shoulder Elbow Surg. 2020;29(3):497-501.
Bovonratwet P, Fu MC, Pathak N, Ondeck NT, Bohl DD, Nho SJ, Grauer JN. Surgical treatment of septic shoulders: a comparison between arthrotomy and arthroscopy. Arthroscopy. 2019;35(7):1984-1991.
Böhler C, Pock A, Waldstein W, Staats K, Puchner SE, Holinka J et al. Surgical treatment of shoulder infections: a comparison between arthroscopy and arthrotomy. J Shoulder Elbow Surg. 2017;26(11):1915-21.
