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Der Orthopäde

, Volume 47, Issue 12, pp 1027–1031 | Cite as

Acute septic arthritis of shoulder joint caused by Aeromonas veronii biotype sobria

  • Dexin Wang
  • Fanggui Sun
  • Zheng Li
  • Yutong Hu
  • Rongming XuEmail author
Kasuistiken

Abstract

We present the case of a 91-year-old woman who presented with a 2‑day history of progressive pain and immobility of the right shoulder joint after fever of unknown etiology. Aeromonas sobria was isolated from a culture of purulent synovial fluid. The clinical condition gradually improved with the application of appropriate antibiotics and no surgical intervention was necessary. This report indicates that acute septic arthritis may result from Aeromonas veronii biotype sobria infections in healthy people. This case is contrary to the previous reports due to the absence of obvious risk factors.

Keywords

Periarthritis Transmission Gram-negative bacterial infections Magnetic resonance imaging Conservative treatment 

Abbreviations

CT

Computed tomography

MRI

Magnetic resonance imaging

PCR

Polymerase chain reaction

WBC

White blood cells

Akute septische Arthritis des Schultergelenks durch Aeromonas veronii biovarsobria

Zusammenfassung

Wir berichten über den Fall einer 91-jährigen Patientin, die sich mit seit 2 Tagen bestehenden progressiven Schmerzen und Bewegungsunfähigkeit des rechten Schultergelenks nach einer fieberhaften Erkrankung unbekannter Genese vorstellte. Aeromonas veronii biovar sobria wurde aus einer Kultur eitriger Gelenkflüssigkeit isoliert. Der klinische Zustand verbesserte sich unter entsprechender Antibiotikatherapie zunehmend, und es war kein chirurgischer Eingriff notwendig. Dieser Bericht zeigt, dass eine akute septische Arthritis bei gesunden Menschen durch eine Infektion mit Aeromonas veronii biovar sobria verursacht werden kann. Dieser Fall unterscheidet sich von früheren Berichten, da hier keine bekannten Risikofaktoren vorlagen.

Schlüsselwörter

Periarthritis Übertragung Gramnegative bakterielle Infektionen Magnetresonanztomographie Konservative Therapie 

Notes

Compliance with ethical guidelines

Conflict of interest

D. Wang, F. Sun, Z. Li, Y. Hu and R. Xu declare that they have no competing interests.

All studies on humans described in the present manuscript were carried out with the approval of the responsible ethics committee and in accordance with national law and the Helsinki Declaration of 1975 (in its current, revised form). Ethical approval was given by the medical ethics committee of Mingzhou Hospital of Zhejiang University, with the reference number 2018010016. Informed consent was obtained from all patients included in studies. For images or other information within the manuscript which identify patients, consent was obtained from them and/or their legal guardians.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2018

Authors and Affiliations

  • Dexin Wang
    • 1
  • Fanggui Sun
    • 1
  • Zheng Li
    • 1
  • Yutong Hu
    • 1
  • Rongming Xu
    • 1
    Email author
  1. 1.Department of OrthopaedicsMingzhou Hospital of Zhejiang UniversityNingboChina

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