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MRSA in the bursa: an unusual complication of MRSA bacteremia causing bilateral acromioclavicular septic arthritis
Background. Bacteraemia is known to cause serious complications including metastatic infections such as infective endocarditis, vertebral osteomyelitis, iliopsosas abscesses and septic arthritis. Bilateral septic arthritis, however, is a rare medical emergency with limited previous reports. Staphylo...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Microbiology Society
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9836058/ https://www.ncbi.nlm.nih.gov/pubmed/36644736 http://dx.doi.org/10.1099/acmi.0.000438 |
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author | Rodriguez-Quick, Victoria A. Llop, Alexander Dimas, Kevin Girgawy, Essam A. |
author_facet | Rodriguez-Quick, Victoria A. Llop, Alexander Dimas, Kevin Girgawy, Essam A. |
author_sort | Rodriguez-Quick, Victoria A. |
collection | PubMed |
description | Background. Bacteraemia is known to cause serious complications including metastatic infections such as infective endocarditis, vertebral osteomyelitis, iliopsosas abscesses and septic arthritis. Bilateral septic arthritis, however, is a rare medical emergency with limited previous reports. Staphylococcus species are the most common organisms identified as a result of suspected haematogenous spread from bacteraemia, direct inoculation or translocation from adjacent tissues. While unilateral septic arthritis due to intravenous drug use is a common phenomenon warranting prompt treatment to preserve mobility, function and quality of life, cases of bilateral infections are exceedingly rare. Furthermore, infections involving the acromioclavicular joint are not commonly documented in the literature. Case Presentation. We present a case of a 41-year-old female with a history of intravenous drug use who presented with low back pain and was found to have methicillin-resistant Staphylococcus aureus bacteraemia that was complicated with metastatic infections causing bilateral acromioclavicular joint septic arthritis. Conclusions. Metastatic infections from bacteraemia are serious complications that can lead to septic arthritis. Though septic arthritis is best known in previous case reports to present as a unilateral infection, rare cases of bilateral involvement warrant further consideration. A thorough history and physical examination evaluating all joints can identify such atypical presentations. Septic arthritis remains a medical emergency, and it is imperative that clinicians recognize unusual presentations to avoid delays in treatment that can lead to detrimental impacts to quality of life. |
format | Online Article Text |
id | pubmed-9836058 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Microbiology Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-98360582023-01-13 MRSA in the bursa: an unusual complication of MRSA bacteremia causing bilateral acromioclavicular septic arthritis Rodriguez-Quick, Victoria A. Llop, Alexander Dimas, Kevin Girgawy, Essam A. Access Microbiol Case Reports Background. Bacteraemia is known to cause serious complications including metastatic infections such as infective endocarditis, vertebral osteomyelitis, iliopsosas abscesses and septic arthritis. Bilateral septic arthritis, however, is a rare medical emergency with limited previous reports. Staphylococcus species are the most common organisms identified as a result of suspected haematogenous spread from bacteraemia, direct inoculation or translocation from adjacent tissues. While unilateral septic arthritis due to intravenous drug use is a common phenomenon warranting prompt treatment to preserve mobility, function and quality of life, cases of bilateral infections are exceedingly rare. Furthermore, infections involving the acromioclavicular joint are not commonly documented in the literature. Case Presentation. We present a case of a 41-year-old female with a history of intravenous drug use who presented with low back pain and was found to have methicillin-resistant Staphylococcus aureus bacteraemia that was complicated with metastatic infections causing bilateral acromioclavicular joint septic arthritis. Conclusions. Metastatic infections from bacteraemia are serious complications that can lead to septic arthritis. Though septic arthritis is best known in previous case reports to present as a unilateral infection, rare cases of bilateral involvement warrant further consideration. A thorough history and physical examination evaluating all joints can identify such atypical presentations. Septic arthritis remains a medical emergency, and it is imperative that clinicians recognize unusual presentations to avoid delays in treatment that can lead to detrimental impacts to quality of life. Microbiology Society 2022-12-05 /pmc/articles/PMC9836058/ /pubmed/36644736 http://dx.doi.org/10.1099/acmi.0.000438 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution NonCommercial License. |
spellingShingle | Case Reports Rodriguez-Quick, Victoria A. Llop, Alexander Dimas, Kevin Girgawy, Essam A. MRSA in the bursa: an unusual complication of MRSA bacteremia causing bilateral acromioclavicular septic arthritis |
title | MRSA in the bursa: an unusual complication of MRSA bacteremia causing bilateral acromioclavicular septic arthritis |
title_full | MRSA in the bursa: an unusual complication of MRSA bacteremia causing bilateral acromioclavicular septic arthritis |
title_fullStr | MRSA in the bursa: an unusual complication of MRSA bacteremia causing bilateral acromioclavicular septic arthritis |
title_full_unstemmed | MRSA in the bursa: an unusual complication of MRSA bacteremia causing bilateral acromioclavicular septic arthritis |
title_short | MRSA in the bursa: an unusual complication of MRSA bacteremia causing bilateral acromioclavicular septic arthritis |
title_sort | mrsa in the bursa: an unusual complication of mrsa bacteremia causing bilateral acromioclavicular septic arthritis |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9836058/ https://www.ncbi.nlm.nih.gov/pubmed/36644736 http://dx.doi.org/10.1099/acmi.0.000438 |
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