Subscapular Abscess Caused by Panton-Valentine Leukocidin-Positive Staphylococcus aureus: An Atypical Presentation
Subscapular abscess is an uncommon condition which requires early recognition followed by prompt surgical intervention. We present a case of spontaneous subscapular abscess following blunt trauma to the shoulder in a patient with a history of recurrent superficial soft tissue infections, in which Pa...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2018/8256428 |
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| author | Kamal Patel Emma Spowart Dana Sochorova Nadia Diego Georgios Mamarelis Mohammad Zain Sohail |
| author_facet | Kamal Patel Emma Spowart Dana Sochorova Nadia Diego Georgios Mamarelis Mohammad Zain Sohail |
| author_sort | Kamal Patel |
| collection | DOAJ |
| description | Subscapular abscess is an uncommon condition which requires early recognition followed by prompt surgical intervention. We present a case of spontaneous subscapular abscess following blunt trauma to the shoulder in a patient with a history of recurrent superficial soft tissue infections, in which Panton-Valentine leukocidin-producing S. aureus was identified as the infectious agent. This strain due to its virulence can lead to fatal infections in otherwise healthy individuals; therefore, a high index of suspicion is needed to investigate with an MRI to rule out abscess formation in a patient with acute shoulder girdle pain and negative joint aspirate. Urgent surgical intervention and targeted antimicrobial therapy against PVL-positive S. aureus in accordance with microbiologist yield good outcomes. |
| format | Article |
| id | doaj-art-0aae32898aa645dea9e07a8cc97e9b4c |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-0aae32898aa645dea9e07a8cc97e9b4c2025-02-03T01:11:50ZengWileyCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/82564288256428Subscapular Abscess Caused by Panton-Valentine Leukocidin-Positive Staphylococcus aureus: An Atypical PresentationKamal Patel0Emma Spowart1Dana Sochorova2Nadia Diego3Georgios Mamarelis4Mohammad Zain Sohail5Accident and Emergency Department, Barnet Hospital, Royal Free London NHS Foundation Trust, Wellhouse Lane, Barnet EN5 3DJ, UKBart’s Health NHS Foundation Trust, London, UKThe Queen Elizabeth Hospital Kings Lynn Foundation Trust, Kings Lynn, Norfolk PE30 4ET, UKThe Princess Alexandra Hospital NHS Trust, Harlow CM20 1QX, UKRoyal London Hospital, Whitechapel, London E1 1BB, UKEast of England Rotation, The Queen Elizabeth Hospital Kings Lynn Foundation Trust, Kings Lynn, Norfolk PE30 4ET, UKSubscapular abscess is an uncommon condition which requires early recognition followed by prompt surgical intervention. We present a case of spontaneous subscapular abscess following blunt trauma to the shoulder in a patient with a history of recurrent superficial soft tissue infections, in which Panton-Valentine leukocidin-producing S. aureus was identified as the infectious agent. This strain due to its virulence can lead to fatal infections in otherwise healthy individuals; therefore, a high index of suspicion is needed to investigate with an MRI to rule out abscess formation in a patient with acute shoulder girdle pain and negative joint aspirate. Urgent surgical intervention and targeted antimicrobial therapy against PVL-positive S. aureus in accordance with microbiologist yield good outcomes.http://dx.doi.org/10.1155/2018/8256428 |
| spellingShingle | Kamal Patel Emma Spowart Dana Sochorova Nadia Diego Georgios Mamarelis Mohammad Zain Sohail Subscapular Abscess Caused by Panton-Valentine Leukocidin-Positive Staphylococcus aureus: An Atypical Presentation Case Reports in Orthopedics |
| title | Subscapular Abscess Caused by Panton-Valentine Leukocidin-Positive Staphylococcus aureus: An Atypical Presentation |
| title_full | Subscapular Abscess Caused by Panton-Valentine Leukocidin-Positive Staphylococcus aureus: An Atypical Presentation |
| title_fullStr | Subscapular Abscess Caused by Panton-Valentine Leukocidin-Positive Staphylococcus aureus: An Atypical Presentation |
| title_full_unstemmed | Subscapular Abscess Caused by Panton-Valentine Leukocidin-Positive Staphylococcus aureus: An Atypical Presentation |
| title_short | Subscapular Abscess Caused by Panton-Valentine Leukocidin-Positive Staphylococcus aureus: An Atypical Presentation |
| title_sort | subscapular abscess caused by panton valentine leukocidin positive staphylococcus aureus an atypical presentation |
| url | http://dx.doi.org/10.1155/2018/8256428 |
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