Right shoulder septic arthritis

Case contributed by Dr Jan Frank Gerstenmaier

Presentation

Hyperglycaemia and fevers. Right shoulder pain after twisting. Suspected fracture or dislocation.

Patient Data

Age: 74
Gender: Female
X-ray

There is glenoid humeral joint malalignment with inferior displacement of the humeral head. No fracture.

Ultrasound

Under ultrasound guidance a 19 gauge needle was inserted into the right glenohumeral joint and 10 ml of thick purulent and blood stained material was aspirated.

Case Discussion

Specimen type: synovial fluid

MICROSCOPY CELL COUNT: Leucocyte 15200 x10^6/L; Erythrocyte 3000 x10^6/L.

GRAM STAIN: Leucocytes +++ Gram positive cocci +

CULTURE: 1. Staphylococcus aureus ++

PlayAdd to Share

Case information

rID: 28670
Case created: 6th Apr 2014
Last edited: 13th Jan 2016
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.