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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...

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Detalles Bibliográficos
Autores principales: Raiser, Sara, Davidson, Kathryn, Walsh, Ashley, Egerman, Robert
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
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.
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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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