Destructive Septic Arthritis of the right shoulder: A Case report.

Authors

  • Liliam Escariz-Borrego Universidad laica ELOY ALFARO de MANABÍ
  • Víctor Chávez-Guerra
  • Michael Cardenas
  • José Pérez
  • Dorien Seguer

DOI:

https://doi.org/10.29076/issn.2602-8360vol2iss3.2018pp17-24p

Abstract

Destructive septic arthritis is currently a pathology that has been considered one of the most dangerous forms of arthritis and that ends up becoming a medical emergency, due to the high percentage of morbidity and mortality that it causes. Destructive septic arthritis is a challenge for the medical profession because of its incidence in extreme ages of life and the high rate of resistance to antibiotic therapy. The low socioeconomic level and the previous injuries to the contusion type are among the most frequent risk factors. This case study presents a patient who comes to the emergency room due to pain at the shoulder joint, functional impotence and localized phlogistic signs, which is diagnosed as advanced destructive septic arthritis. Magnetic resonance is used as the optimal diagnostic method, owing to its high sensitivity to identify the musculoskeletal system of the affected joint, allowing an early diagnosis and avoiding future complications. The objective of this study is to show the methods used in an optimal diagnosis according to the presentation of the symtoms of a patient with septic arthritis.

 

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Author Biography

  • Liliam Escariz-Borrego, Universidad laica ELOY ALFARO de MANABÍ
    Coordinadora Carrera de Radiologia e Imagenología.

References

Palomino L, Ramírez R, Vejarano J, Ticse R.Fractura de cadera en el adulto mayor: la epidemia ignorada en el Perú. Acta méd. Peruana. 2016;33(1): 15-20

Klinger HM, Baums MH, Freche S, Nusselt T, Spahn G, Steckel H. Septic arthritis of the shoulder joint: an analysis of management and outcome. Acta Orthop Belg. 2010; 76(5):598-603.

Lim KB, Kwak YG, Kim YS, Park KR. Shoulder Joint Infectious Arthritis and Acromioclavicular Joint Osteomyelitis due to Candida. Ann Re-habil Med. 2012 Aug;36(4):573-7.

Morales Cifuentes L, Pardo J. Disección aórtica tipo A Hospital Universitario Mayor- Méderi. (2016). Casos clínicos. Obtenido de http://repository.urosario.edu.co/sitios/12572/

Lee KH, Heo ST, Choi SW, Park da H, Kim YR, Yoo SJ. Three cases of postoperative septic arhritis caused by Mycobacterium conceptionense in the shoulder joints of immunocom-petent patients. J Clin Microbiol. 2014;52(3):1013-5.

Álvarez López Alejandro, Ortega González Carlos, García Lorenzo Yenima. Artritis séptica del hombro: a propósito de un caso. 2016; 20( 1 ): 50-55.

Ornelas-Aguirre J. Artritis séptica en un centro de adultos de tercer nivel de atención. Septic arthritis in adults in a tertiary care center Reumatol Clin 2016;12 (1): 27-33.

Mathews CJ, Weston VC, Jones A, Field M, Coakley G. Bacterial septic arthritis in adults. Lancet. 2010; 6;375(9717):846-55.

Fernández-Cid C, Lozano Rivas N, Castellón de Arce P. Artritis séptica. Rentabilidad diagnóstica y nuevos tratamientos. Reumatol Clin 2008;(4): 2:24-8

Morel Ayala Zoilo, Greco Junior. Enfermedad de Kawasaki. Revisión de la literatura. Pediatr. (Asunción) 2014; 41( 3): 223-234.

Abdel MP, Perry KI, Morrey ME, Steinmann SP, Sperling JW, Cass JR. Arthroscopic management of native shoulder septic arthritis. J Shoulder Elbow Surg. 2013; 22(3):418-21.

Roberts J, Schaefer E, Gallo RA. Indicators for detection of septic arthritis in the acutely swol-len joint cohort of those without joint prosthe-ses. Orthopedics. 2014;37(2):98-102.

Krogstad P. Osteomyelitis and septic arthritis.En: Feigin, Cherry JD, Demles GJ, et al. eds. Textbook of pediatric infectious diseases. 5th edition. Philadelphia: WBSaunders; 2004: 713-36.

Bhagat S, Ostör AJ. Diagnosing joint pain in the older people. Practitioner. 2010;254(1725):17-21.

Merino Muñoz R, Martín Vega A, García Caballero J, García-Consuegra J. Evaluación de una vía clínica de artritis séptica. An Pediatr Barc. 2007; 67: 22-9.

Coinde E, David L, Cottalorda J, Allard D, Bost M, Luch F, et al. Chronic recurrent multifocal osteomyelitis in children: report of 17 cases. Arch Pediatr. 2001; 8:577-83.

Domínguez-Guzmán D, Moreno-Portillo M, García-Flores C, Blas-Franco M. Drenaje laparoscópico de absceso hepático. Experiencia inicial. Cir Ciruj 2006;74:189-194.

Otero Reigada MC, Silveira LF, Policarpo SN, Pérez Tamarit MA, et al. Infecciones por Kingella kingae en la edad pediátrica. Enferm Infecc Microbiol Clin 2011;29 (3):29-32.

Roldán-Valadez E, Lima-Dávalos R, Sangri-Pinto G, Solórzano-Morales S, Hernández-Ortiz J. Diagnóstico por imagen de la artritis séptica aguda de la cadera. Gac. Méd. Méx.2004; 140( 1 ): 93-95.

Published

2019-02-08

How to Cite

Destructive Septic Arthritis of the right shoulder: A Case report. (2019). FACSALUD-UNEMI, 2(3), 17-24. https://doi.org/10.29076/issn.2602-8360vol2iss3.2018pp17-24p