Diagnostic challenges in acromioclavicular septic arthritis.

2.50
Hdl Handle:
http://hdl.handle.net/11287/612394
Title:
Diagnostic challenges in acromioclavicular septic arthritis.
Authors:
Williams, Mark
Abstract:
A 69-year-old man with Klinefelter's syndrome presented with a painful shoulder and staphylococcal sepsis. He received intravenous antibiotics while investigations were performed to locate the source of infection. MRI demonstrated infection in the acromioclavicular joint (ACJ). The patient clinically improved and a further 5 weeks of oral antibiotics were given. He remained asymptomatic at 2-year follow-up. Although ACJ septic arthritis is rare, independent of immune-competent status, a high index of suspicion is essential for prompt diagnosis. The condition presents additional diagnostic challenges due to unfamiliarity, the challenges of interpreting imaging, desire for radiological guided arthrocentesis and low volume aspirates. Overcoming these pitfalls is essential to avoid significant morbidity and mortality.
Citation:
Diagnostic challenges in acromioclavicular septic arthritis. 2016, 2016: BMJ Case Rep
Publisher:
BMJ
Journal:
BMJ case reports
Issue Date:
2-Jun-2016
URI:
http://hdl.handle.net/11287/612394
DOI:
10.1136/bcr-2016-216034
PubMed ID:
27257000
Additional Links:
http://casereports.bmj.com/cgi/pmidlookup?view=long&pmid=27257000
Note:
This article is available to RD&E staff via NHS OpenAthens. Click on the 'Additional Link' above to access the full-text, logging in with NHS OpenAthens if prompted.
Type:
Case Report
Language:
en
ISSN:
1757-790X
Appears in Collections:
Rheumatology; 2016 RD&E publications

Full metadata record

DC FieldValue Language
dc.contributor.authorWilliams, Marken
dc.date.accessioned2016-06-09T15:27:45Z-
dc.date.available2016-06-09T15:27:45Z-
dc.date.issued2016-06-02-
dc.identifier.citationDiagnostic challenges in acromioclavicular septic arthritis. 2016, 2016: BMJ Case Repen
dc.identifier.issn1757-790X-
dc.identifier.pmid27257000-
dc.identifier.doi10.1136/bcr-2016-216034-
dc.identifier.urihttp://hdl.handle.net/11287/612394-
dc.description.abstractA 69-year-old man with Klinefelter's syndrome presented with a painful shoulder and staphylococcal sepsis. He received intravenous antibiotics while investigations were performed to locate the source of infection. MRI demonstrated infection in the acromioclavicular joint (ACJ). The patient clinically improved and a further 5 weeks of oral antibiotics were given. He remained asymptomatic at 2-year follow-up. Although ACJ septic arthritis is rare, independent of immune-competent status, a high index of suspicion is essential for prompt diagnosis. The condition presents additional diagnostic challenges due to unfamiliarity, the challenges of interpreting imaging, desire for radiological guided arthrocentesis and low volume aspirates. Overcoming these pitfalls is essential to avoid significant morbidity and mortality.en
dc.language.isoenen
dc.publisherBMJen
dc.relation.urlhttp://casereports.bmj.com/cgi/pmidlookup?view=long&pmid=27257000en
dc.rightsArchived with thanks to BMJ Case Reportsen
dc.subjectWessex Classification Subject Headings::Diseases & disorders of systemic, metabolic or environmental origin::Rheumatologyen
dc.titleDiagnostic challenges in acromioclavicular septic arthritis.en
dc.typeCase Reporten
dc.identifier.journalBMJ case reportsen
dc.description.noteThis article is available to RD&E staff via NHS OpenAthens. Click on the 'Additional Link' above to access the full-text, logging in with NHS OpenAthens if prompted.en
dc.type.versionPublisheden

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