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Updated: Sep 2, 2025

Author Spotlight: Advancing Research on Candida albicans Biofilm-Associated Prosthetic Joint Infections
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Acromioclavicular Osteomyelitis: When Simple Cellulitis Is No Longer Simple.

Adam Oswald1, Abigail Alorda1, Maria Tassone1

  • 1Emergency Medicine, University of Central Florida College of Medicine.

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Summary

This case report emphasizes diagnosing rare acromioclavicular osteomyelitis and septic arthritis. Prompt re-imaging with magnetic resonance imaging (MRI) proved crucial for this diabetic patient with shoulder pain.

Keywords:
acromioclavicular osteomyelitisosteomyelitis

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Area of Science:

  • Orthopedics
  • Infectious Diseases
  • Radiology

Background:

  • Acromioclavicular osteomyelitis and septic arthritis are rare shoulder joint infections.
  • Early diagnosis and treatment are essential for favorable outcomes.

Observation:

  • A 51-year-old diabetic male presented with right shoulder pain and cellulitis.
  • Initial symptoms were non-specific, with no history of trauma or risk factors like IV drug use.
  • The patient later developed septic arthritis and osteomyelitis of the acromion and distal clavicle.

Findings:

  • Delayed diagnosis occurred despite initial presentation.
  • Lack of symptomatic improvement prompted repeat joint imaging.
  • Magnetic resonance imaging (MRI) with contrast was key to diagnosing acromioclavicular osteomyelitis and septic arthritis.

Implications:

  • Highlights the importance of continued evaluation for rare shoulder conditions.
  • Underscores the diagnostic value of MRI with contrast in complex cases.
  • Emphasizes the need for surgical intervention in advanced acromioclavicular osteomyelitis and septic arthritis.