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Septic Arthritis of the Shoulder Complicating Pregnancy
Septic arthropathy leads to rapid joint destruction, impairment, and disability. Staphylococcus can be particularly virulent to bone and joints leading to adverse obstetric events. At 28 of weeks gestation, a patient presented with pyelonephritis and progressive left shoulder pain. Magnetic resonanc...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4052170/ https://www.ncbi.nlm.nih.gov/pubmed/24959364 http://dx.doi.org/10.1155/2014/738153 |
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author | Raiser, Sara Davidson, Kathryn Walsh, Ashley Egerman, Robert |
author_facet | Raiser, Sara Davidson, Kathryn Walsh, Ashley Egerman, Robert |
author_sort | Raiser, Sara |
collection | PubMed |
description | Septic arthropathy leads to rapid joint destruction, impairment, and disability. Staphylococcus can be particularly virulent to bone and joints leading to adverse obstetric events. At 28 of weeks gestation, a patient presented with pyelonephritis and progressive left shoulder pain. Magnetic resonance imaging indicated early clavicular destruction and acromial involvement. Glenohumeral joint aspiration produced Staphylococcus aureus. The patient then had premature rupture of membranes and progressed rapidly to preterm delivery. Placental pathology revealed chorioamnionitis and microabscesses. Treatment of the infected joint required further surgical drainage and bone resection as well as extended antibiotics. It is important to remember that joint pain in pregnancy may indicate infective arthritis, and pyelonephritis can be a source of such an infection. Evaluation includes magnetic resonance imaging and consultation for joint aspiration. Prompt recognition and treatment are necessary to prevent joint destruction. |
format | Online Article Text |
id | pubmed-4052170 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-40521702014-06-23 Septic Arthritis of the Shoulder Complicating Pregnancy Raiser, Sara Davidson, Kathryn Walsh, Ashley Egerman, Robert Case Rep Obstet Gynecol Case Report Septic arthropathy leads to rapid joint destruction, impairment, and disability. Staphylococcus can be particularly virulent to bone and joints leading to adverse obstetric events. At 28 of weeks gestation, a patient presented with pyelonephritis and progressive left shoulder pain. Magnetic resonance imaging indicated early clavicular destruction and acromial involvement. Glenohumeral joint aspiration produced Staphylococcus aureus. The patient then had premature rupture of membranes and progressed rapidly to preterm delivery. Placental pathology revealed chorioamnionitis and microabscesses. Treatment of the infected joint required further surgical drainage and bone resection as well as extended antibiotics. It is important to remember that joint pain in pregnancy may indicate infective arthritis, and pyelonephritis can be a source of such an infection. Evaluation includes magnetic resonance imaging and consultation for joint aspiration. Prompt recognition and treatment are necessary to prevent joint destruction. Hindawi Publishing Corporation 2014 2014-05-18 /pmc/articles/PMC4052170/ /pubmed/24959364 http://dx.doi.org/10.1155/2014/738153 Text en Copyright © 2014 Sara Raiser et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Raiser, Sara Davidson, Kathryn Walsh, Ashley Egerman, Robert Septic Arthritis of the Shoulder Complicating Pregnancy |
title | Septic Arthritis of the Shoulder Complicating Pregnancy |
title_full | Septic Arthritis of the Shoulder Complicating Pregnancy |
title_fullStr | Septic Arthritis of the Shoulder Complicating Pregnancy |
title_full_unstemmed | Septic Arthritis of the Shoulder Complicating Pregnancy |
title_short | Septic Arthritis of the Shoulder Complicating Pregnancy |
title_sort | septic arthritis of the shoulder complicating pregnancy |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4052170/ https://www.ncbi.nlm.nih.gov/pubmed/24959364 http://dx.doi.org/10.1155/2014/738153 |
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