Acromioclavicular joint septic arthritis in an immunocompetent child: A case report

Chinese Journal of Traumatology = Zhonghua Chuang Shang Za Zhi
Saurabh DuttAbhishek Kashyap

Abstract

Septic arthritis of acromioclavicular (AC) joint is a rare entity. It is generally seen in patients who are immunocompromised. Only 15 cases have been reported till now, with only one case series of 6 patients. We report a case of septic arthritis of AC joint in an immunocompetent child. A 9 years old girl presented with history of pain in left shoulder for 4 days associated with fever. No history suggestive of any immunocompromised state was complained. On local examination, a swelling of around 3 cm in diameter was found over left AC joint region with raised local temperature, tenderness on palpation and positive response in fluctuation test. Total leukocyte count was 18.7 × 109/L with 80% of neutrophils. Erythrocyte sedimentation rate (ESR) was 28 mm/1 h. C-reactive protein (CRP) was 12 mg/L. X-ray showed enlarged left AC joint space. Ultrasound revealed hypoechoic collection in the AC joint and the surrounding area. The aspirate was thick and purulent in nature, revealing Gram positive cocci at staining. Arthrotomy and thorough lavage of AC joint was done. Culture of the aspirate showed Methicillin Resistant Staphylococcus Aureus (MRSA) after 48 hours that was sensitive to amikacin, gentamicin, erythromycin and teicoplanin....Continue Reading

Citations


❮ Previous
Next ❯

Methods Mentioned

BETA
X-ray
lavage
ESR

Related Concepts

Related Feeds

Aminoglycosides (ASM)

Aminoglycoside is a medicinal and bacteriologic category of traditional Gram-negative antibacterial medications that inhibit protein synthesis and contain as a portion of the molecule an amino-modified glycoside. Discover the latest research on aminoglycoside here.

Aminoglycosides

Aminoglycoside is a medicinal and bacteriologic category of traditional Gram-negative antibacterial medications that inhibit protein synthesis and contain as a portion of the molecule an amino-modified glycoside. Discover the latest research on aminoglycoside here.

Related Papers

Archives of Orthopaedic and Trauma Surgery
Karthikeyan P IyengarWilliam Y C Loh
Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie
M ZrigA Abid
Collegium antropologicum
Nadica Laktasić-ZerjavićDragica Soldo-Juresa
The American Journal of Orthopedics
Timothy W CareyBrian E Abell
© 2022 Meta ULC. All rights reserved