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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
E. COLI SEPTIC ARTHRITIS AND DISTAL CLAVICLE LYSIS AFTER SUBACROMIAL INJECTION: A CASE REPORT
Author
Ali Çağrı Tekin*, Suleyman Semih Dedeoğlu, Murat Çakar, Haluk Çabuk, Cem Dinçay Büyükkurt, Cem Zeki Esenyel, Tahsin Olgun Bayraktar
Email
cagrtekin@yahoo.com
keyword
Acromioclavicular (AC), Septic arthritis, E.coli, Distal clavicular lysis.
Abstract
E. Coli septic arthritis is seen very rarely and generally accompanies a systemic disease. An even more rare event is E. Coli septic arthritis of the shoulder region. In this case report of E.coli mono-arthritis which developed following an injection, the prevalence of this event, the potential predisposing factors and treatment are reported. The patient presented at an external centre with complaints of right shoulder pain and was diagnosed with subacromial impingement syndrome. Steroid and local anesthetic was administered to the subacromial region at the level of the shoulder posterior portal. On the 3rd day after the injection, the patient presented at our clinic with pain in the shoulder anterior and superior region. In the physical examination, movement was restricted. The patient was admitted for close observation and tests. On the first day of hospitalization, progressive shoulder pain and movement restriction developed with swelling, redness and increased temperature in the superior shoulder and clouded consciousness. Laboratory tests, direct radiograph examination and magnetic resonance imaging (MRI) were applied. As purulent fluid emerged on aspiration, surgical irrigation and debridement were applied. From the culture of the material taken peri operatively, E. Coli proliferation was determined and a diagnosis was made of E.coli septic arthritis. As a result of the antibiogram, treatment was continued with antibiotherapy. In the 3-year postoperative follow-up, distal clavicular lysis developed and the shoulder movement was seen to have improved.
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