Artritis séptica de la articulación acromioclavicular: una localización atípica

Martínez-Morillo, Melania; Soria, Lourdes Mateo; Frutos, Anne Riveros; Segura, Beatriz Tejera; Pérez, Susana Holgado; Marquès, Alejandro Olivé

doi:10.1016/j.reuma.2013.06.002

Cited by 18 publications

(3 citation statements)

References 18 publications

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“…This case emphasizes the role of meticulous clinicoradiological examination where septic arthritis of shoulder joint remains a very close differential diagnosis. Melania et al 11 in 2014 also published a series of 6 cases where all patients were in elderly age group with significant medical morbidities. In English literature, there are only 21 cases reported in detail ( Table 1 ) with one case series of 6 patients recently published.…”

Section: Discussionmentioning

confidence: 99%

“…In English literature, there are only 21 cases reported in detail ( Table 1 ) with one case series of 6 patients recently published. 11 …”

Section: Discussionmentioning

confidence: 99%

“…Pneumoniae Chemotherapy, Multiple myeloma 3 Chiang et al 5 (2007) 79/Female Group B Steptococcus Unknown 4 Carey et al 6 (2010) 65/Female Haemophilus parainfluenzae Unknown 5 Iyenger et al 7 (2009) 42/Male Staph aureus Unknown 6 Blankstein et al 10 (1985) 48/Male Strep. viridans Unknown 7 Melania et al 11 (2014) 52/male Strep pneumoniae Diabetes mellitus 8 Melania et al 11 (2014) 73/male Staphylococcus aureus Chronic renal failure 9 Melania et al 11 (2014) 46/female Staph aureus Disseminated breast neoplasia 10 Melania et al 11 (2014) 71/female Staph aureus Chronic renal failure 11 Melania et al 11 (2014) 53/male Streptococcus agalactiae Chronic renal failure 12 Melania et al 11 (2014) 52/male Streptococcus pneumoniae Diabetes mellitus 13 Bossert et al 12 (2010) 72/male Staph aureus Endocarditis 14 Bossert et al 12 (2010) 55/Female Staph aureus Diabetes, Gout 15 Bossert et al 12 (2010) …”

Section: Discussionmentioning

confidence: 99%

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Acromioclavicular joint septic arthritis in an immunocompetent child: A case report

Dutt

Lodhi

Kumar

et al. 2018

Chinese Journal of Traumatology

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Septic arthritis of acromioclavicular (AC) joint is a rare entity. It is generally seen in patients who are immunocompromised. Only 15 cases have been reported till now, with only one case series of 6 patients. We report a case of septic arthritis of AC joint in an immunocompetent child. A 9 years old girl presented with history of pain in left shoulder for 4 days associated with fever. No history suggestive of any immunocompromised state was complained. On local examination, a swelling of around 3 cm in diameter was found over left AC joint region with raised local temperature, tenderness on palpation and positive response in fluctuation test. Total leukocyte count was 18.7 × 109/L with 80% of neutrophils. Erythrocyte sedimentation rate (ESR) was 28 mm/1 h. C-reactive protein (CRP) was 12 mg/L. X-ray showed enlarged left AC joint space. Ultrasound revealed hypoechoic collection in the AC joint and the surrounding area. The aspirate was thick and purulent in nature, revealing Gram positive cocci at staining. Arthrotomy and thorough lavage of AC joint was done. Culture of the aspirate showed Methicillin Resistant Staphylococcus Aureus (MRSA) after 48 hours that was sensitive to amikacin, gentamicin, erythromycin and teicoplanin. Patient was symptom-free at 2 months of follow-up with no signs of osteomyelitis on the radiographs. Thus this is the first case of AC joint septic arthritis in healthy individual. Being proximal to the shoulder joint, AC joint septic arthritis can be confused with the shoulder joint septic arthritis. Thus, high index of suspicion is required for accurate diagnosis.

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Section: Discussionmentioning

confidence: 99%

“…In English literature, there are only 21 cases reported in detail ( Table 1 ) with one case series of 6 patients recently published. 11 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Acromioclavicular joint septic arthritis in an immunocompetent child: A case report

Dutt

Lodhi

Kumar

et al. 2018

Chinese Journal of Traumatology

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Salmonella Arthritis

Tobón¹,

García-Robledo²,

Nieto-Aristizábal³

2019

Infections and the Rheumatic Diseases

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Diseases of the acromioclavicular joint

Tauber

2016

Orthopäde

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Artritis séptica de la articulación acromioclavicular: una localización atípica

Cited by 18 publications

References 18 publications

Acromioclavicular joint septic arthritis in an immunocompetent child: A case report

Acromioclavicular joint septic arthritis in an immunocompetent child: A case report

Salmonella Arthritis

Diseases of the acromioclavicular joint

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