Clostridium paraputrificum septic arthritis and osteomyelitis of shoulder: A case report and review of literature

Prakhar Vijayvargiya, Zerelda Esquer Garrigos, Kyle G. Rodino, Raymund R. Razonable, Omar M. Abu Saleh

Research output: Contribution to journalArticle

Abstract

Septic arthritis due to Clostridium species is rare. We report the first case of Clostridium paraputrificum native shoulder septic arthritis and osteomyelitis. An 86-year-old woman with osteoarthritis presented with acute-onset right shoulder pain. Injection of the glenohumeral joint with methylprednisolone resulted in worsening of pain. Synovial fluid analysis was consistent with septic arthritis and culture of the synovial fluid grew C. paraputrificum. Arthroscopic irrigation and debridement of shoulder joint with 6 weeks of ertapenem was unsuccessful, with persistence of C. paraputrificum from synovial fluid and tissue culture. She underwent right shoulder resection followed by a second course of ertapenem for 6 weeks. She was pain free at 12 months follow-up visit.

Original languageEnglish (US)
Article number102105
JournalAnaerobe
DOIs
StateAccepted/In press - Jan 1 2019

Fingerprint

Infectious Arthritis
Clostridium
Synovial Fluid
Osteomyelitis
Shoulder Joint
Shoulder Pain
Methylprednisolone
Debridement
Osteoarthritis
Pain
Injections
ertapenem

Keywords

  • Clostridium paraputrificum
  • Osteomyelitis
  • Septic arthritis

ASJC Scopus subject areas

  • Microbiology
  • Infectious Diseases

Cite this

Clostridium paraputrificum septic arthritis and osteomyelitis of shoulder : A case report and review of literature. / Vijayvargiya, Prakhar; Garrigos, Zerelda Esquer; Rodino, Kyle G.; Razonable, Raymund R.; Abu Saleh, Omar M.

In: Anaerobe, 01.01.2019.

Research output: Contribution to journalArticle

Vijayvargiya, Prakhar ; Garrigos, Zerelda Esquer ; Rodino, Kyle G. ; Razonable, Raymund R. ; Abu Saleh, Omar M. / Clostridium paraputrificum septic arthritis and osteomyelitis of shoulder : A case report and review of literature. In: Anaerobe. 2019.
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