Devastating Pneumococcal Arthritis of the Shoulder After Two Corticosteroid Injections

A 36-year-old man was treated with two intraarticular corticoid injections for intense pain and severely decreased range of motion of his left shoulder. After the second injection, he came back with fulminant arthritis. Microbiological examination revealed streptococcus pneumoniae. Open debridement,...

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Detalles Bibliográficos
Autores principales: Kraler, Benjamin, Bissig, Philipp, Nyffeler, Richard W
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Orthopedics
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8740204/
https://www.ncbi.nlm.nih.gov/pubmed/35018274
http://dx.doi.org/10.7759/cureus.21006
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author Kraler, Benjamin
Bissig, Philipp
Nyffeler, Richard W
author_facet Kraler, Benjamin
Bissig, Philipp
Nyffeler, Richard W
author_sort Kraler, Benjamin
collection PubMed
description A 36-year-old man was treated with two intraarticular corticoid injections for intense pain and severely decreased range of motion of his left shoulder. After the second injection, he came back with fulminant arthritis. Microbiological examination revealed streptococcus pneumoniae. Open debridement, long-term antibiotics, and total shoulder replacement were necessary to restore acceptable shoulder function. The fulminant course with rapid destruction of the joint illustrates the risks of intraarticular corticoid injections. This case also shows that the diagnosis should be accurately made and risk factors excluded before considering injection as a treatment.
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spelling pubmed-87402042022-01-10 Devastating Pneumococcal Arthritis of the Shoulder After Two Corticosteroid Injections Kraler, Benjamin Bissig, Philipp Nyffeler, Richard W Cureus Orthopedics A 36-year-old man was treated with two intraarticular corticoid injections for intense pain and severely decreased range of motion of his left shoulder. After the second injection, he came back with fulminant arthritis. Microbiological examination revealed streptococcus pneumoniae. Open debridement, long-term antibiotics, and total shoulder replacement were necessary to restore acceptable shoulder function. The fulminant course with rapid destruction of the joint illustrates the risks of intraarticular corticoid injections. This case also shows that the diagnosis should be accurately made and risk factors excluded before considering injection as a treatment. Cureus 2022-01-07 /pmc/articles/PMC8740204/ /pubmed/35018274 http://dx.doi.org/10.7759/cureus.21006 Text en Copyright © 2022, Kraler et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Orthopedics
Kraler, Benjamin
Bissig, Philipp
Nyffeler, Richard W
Devastating Pneumococcal Arthritis of the Shoulder After Two Corticosteroid Injections
title Devastating Pneumococcal Arthritis of the Shoulder After Two Corticosteroid Injections
title_full Devastating Pneumococcal Arthritis of the Shoulder After Two Corticosteroid Injections
title_fullStr Devastating Pneumococcal Arthritis of the Shoulder After Two Corticosteroid Injections
title_full_unstemmed Devastating Pneumococcal Arthritis of the Shoulder After Two Corticosteroid Injections
title_short Devastating Pneumococcal Arthritis of the Shoulder After Two Corticosteroid Injections
title_sort devastating pneumococcal arthritis of the shoulder after two corticosteroid injections
topic Orthopedics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8740204/
https://www.ncbi.nlm.nih.gov/pubmed/35018274
http://dx.doi.org/10.7759/cureus.21006
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