Presentation
Hyperglycemia and fevers. Right shoulder pain after twisting. Suspected fracture or dislocation.
Patient Data
Age: 74
Gender: Female
From the case:
Right shoulder septic arthritis
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There is glenoid humeral joint malalignment with inferior displacement of the humeral head. No fracture.
From the case:
Right shoulder septic arthritis
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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: Leukocyte 15200 x10^6/L; Erythrocyte 3000 x10^6/L.
GRAM STAIN: Leukocytes +++ Gram positive cocci +
CULTURE: 1. Staphylococcus aureus ++