Septic Arthritis of the Shoulder Complicating Pregnancy
Septic arthropathy leads to rapid joint destruction, impairment, and disability. Staphylococcus can be particularly virulent to bone and joints leading to adverse obstetric events. At 28 of weeks gestation, a patient presented with pyelonephritis and progressive left shoulder pain. Magnetic resonanc...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2014/738153 |
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| author | Sara Raiser Kathryn Davidson Ashley Walsh Robert Egerman |
| author_facet | Sara Raiser Kathryn Davidson Ashley Walsh Robert Egerman |
| author_sort | Sara Raiser |
| collection | DOAJ |
| description | Septic arthropathy leads to rapid joint destruction, impairment, and disability. Staphylococcus can be particularly virulent to bone and joints leading to adverse obstetric events. At 28 of weeks gestation, a patient presented with pyelonephritis and progressive left shoulder pain. Magnetic resonance imaging indicated early clavicular destruction and acromial involvement. Glenohumeral joint aspiration produced Staphylococcus aureus. The patient then had premature rupture of membranes and progressed rapidly to preterm delivery. Placental pathology revealed chorioamnionitis and microabscesses. Treatment of the infected joint required further surgical drainage and bone resection as well as extended antibiotics. It is important to remember that joint pain in pregnancy may indicate infective arthritis, and pyelonephritis can be a source of such an infection. Evaluation includes magnetic resonance imaging and consultation for joint aspiration. Prompt recognition and treatment are necessary to prevent joint destruction. |
| format | Article |
| id | doaj-art-5d8862fde98040e6b0b80d98dd0b6e18 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-5d8862fde98040e6b0b80d98dd0b6e182025-02-03T06:05:23ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922014-01-01201410.1155/2014/738153738153Septic Arthritis of the Shoulder Complicating PregnancySara Raiser0Kathryn Davidson1Ashley Walsh2Robert Egerman3Department of Obstetrics and Gynecology, University of Florida, Gainesville, FL 32610, USADepartment of Obstetrics and Gynecology, University of Florida, Gainesville, FL 32610, USADepartment of Obstetrics and Gynecology, University of Florida, Gainesville, FL 32610, USADepartment of Obstetrics and Gynecology, University of Florida, Gainesville, FL 32610, USASeptic arthropathy leads to rapid joint destruction, impairment, and disability. Staphylococcus can be particularly virulent to bone and joints leading to adverse obstetric events. At 28 of weeks gestation, a patient presented with pyelonephritis and progressive left shoulder pain. Magnetic resonance imaging indicated early clavicular destruction and acromial involvement. Glenohumeral joint aspiration produced Staphylococcus aureus. The patient then had premature rupture of membranes and progressed rapidly to preterm delivery. Placental pathology revealed chorioamnionitis and microabscesses. Treatment of the infected joint required further surgical drainage and bone resection as well as extended antibiotics. It is important to remember that joint pain in pregnancy may indicate infective arthritis, and pyelonephritis can be a source of such an infection. Evaluation includes magnetic resonance imaging and consultation for joint aspiration. Prompt recognition and treatment are necessary to prevent joint destruction.http://dx.doi.org/10.1155/2014/738153 |
| spellingShingle | Sara Raiser Kathryn Davidson Ashley Walsh Robert Egerman Septic Arthritis of the Shoulder Complicating Pregnancy Case Reports in Obstetrics and Gynecology |
| title | Septic Arthritis of the Shoulder Complicating Pregnancy |
| title_full | Septic Arthritis of the Shoulder Complicating Pregnancy |
| title_fullStr | Septic Arthritis of the Shoulder Complicating Pregnancy |
| title_full_unstemmed | Septic Arthritis of the Shoulder Complicating Pregnancy |
| title_short | Septic Arthritis of the Shoulder Complicating Pregnancy |
| title_sort | septic arthritis of the shoulder complicating pregnancy |
| url | http://dx.doi.org/10.1155/2014/738153 |
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