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Probing Beyond the Pain Scale: A Rare Case of Cutibacterium Acnes Septic Arthritis
Patients with sickle cell disease frequently present to the hospital for pain control secondary to vaso-occlusive crises (VOCs). Diagnostic challenges exist for healthcare providers in distinguishing joint pain secondary to a VOC from an intraarticular infection at initial presentation due to the la...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9792366/ https://www.ncbi.nlm.nih.gov/pubmed/36579211 http://dx.doi.org/10.7759/cureus.31864 |
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author | Keys, Phillip H Ishac, George Cuellar, Servando T Mushtaq, Muhammad A Qureshi, Sidra |
author_facet | Keys, Phillip H Ishac, George Cuellar, Servando T Mushtaq, Muhammad A Qureshi, Sidra |
author_sort | Keys, Phillip H |
collection | PubMed |
description | Patients with sickle cell disease frequently present to the hospital for pain control secondary to vaso-occlusive crises (VOCs). Diagnostic challenges exist for healthcare providers in distinguishing joint pain secondary to a VOC from an intraarticular infection at initial presentation due to the lack of established clinical markers exclusive to one or the other. We present a 35-year-old female with sickle cell disease and avascular necrosis of bilateral hips and the right shoulder with several previous admissions for VOC pain control complaining of a "different" kind of pain in her shoulder. Treated initially for pain control, our patient was found to be suffering from culture-positive septic arthritis of the shoulder with Cutibacterium acnes, a rare source of de novo intraarticular infection. This case highlights the importance of incorporating patients’ subjective descriptions of illness into differential diagnosis considerations, notably for those caring for patients with sickle cell disease. This case also establishes C. acnes as a rare organism responsible for de novo septic arthritis in the setting of sickle cell disease. |
format | Online Article Text |
id | pubmed-9792366 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-97923662022-12-27 Probing Beyond the Pain Scale: A Rare Case of Cutibacterium Acnes Septic Arthritis Keys, Phillip H Ishac, George Cuellar, Servando T Mushtaq, Muhammad A Qureshi, Sidra Cureus Internal Medicine Patients with sickle cell disease frequently present to the hospital for pain control secondary to vaso-occlusive crises (VOCs). Diagnostic challenges exist for healthcare providers in distinguishing joint pain secondary to a VOC from an intraarticular infection at initial presentation due to the lack of established clinical markers exclusive to one or the other. We present a 35-year-old female with sickle cell disease and avascular necrosis of bilateral hips and the right shoulder with several previous admissions for VOC pain control complaining of a "different" kind of pain in her shoulder. Treated initially for pain control, our patient was found to be suffering from culture-positive septic arthritis of the shoulder with Cutibacterium acnes, a rare source of de novo intraarticular infection. This case highlights the importance of incorporating patients’ subjective descriptions of illness into differential diagnosis considerations, notably for those caring for patients with sickle cell disease. This case also establishes C. acnes as a rare organism responsible for de novo septic arthritis in the setting of sickle cell disease. Cureus 2022-11-24 /pmc/articles/PMC9792366/ /pubmed/36579211 http://dx.doi.org/10.7759/cureus.31864 Text en Copyright © 2022, Keys 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 | Internal Medicine Keys, Phillip H Ishac, George Cuellar, Servando T Mushtaq, Muhammad A Qureshi, Sidra Probing Beyond the Pain Scale: A Rare Case of Cutibacterium Acnes Septic Arthritis |
title | Probing Beyond the Pain Scale: A Rare Case of Cutibacterium Acnes Septic Arthritis |
title_full | Probing Beyond the Pain Scale: A Rare Case of Cutibacterium Acnes Septic Arthritis |
title_fullStr | Probing Beyond the Pain Scale: A Rare Case of Cutibacterium Acnes Septic Arthritis |
title_full_unstemmed | Probing Beyond the Pain Scale: A Rare Case of Cutibacterium Acnes Septic Arthritis |
title_short | Probing Beyond the Pain Scale: A Rare Case of Cutibacterium Acnes Septic Arthritis |
title_sort | probing beyond the pain scale: a rare case of cutibacterium acnes septic arthritis |
topic | Internal Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9792366/ https://www.ncbi.nlm.nih.gov/pubmed/36579211 http://dx.doi.org/10.7759/cureus.31864 |
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