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Published on: February 25, 2022
Erosive bilateral glenohumeral osteoarthritis caused by urosepsis-induced septic arthritis
Kiet Le1, Tessa Lilley, Daniel Swanson
1Kiet Le and Tessa Lilley practice in orthopedics at Boston Bone & Joint Institute in Waltham, Mass. Daniel Swanson is a student at UMass Chan Medical School in Worcester, Mass. Andrew Jawa is an orthopedic surgeon specializing in shoulder arthroplasty at Boston Bone & Joint Institute and New England Baptist Hospital in Boston, Mass. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Abstract:
Staphylococcus aureus is a common cause of bacterial infections of the skin, soft tissues, bones, bloodstream, and respiratory system. When the infection spreads to the joints, it is known as septic arthritis. The shoulder is the third most common location for septic arthritis in adults. Treatment is arthroscopic or open irrigation and debridement, but even after eradicating the bacteria, cartilage and bone destruction can occur. This article describes a patient who developed bilateral septic arthritis of the shoulders shortly after a urinary tract infection, and was treated with a relatively rare reverse shoulder hemiarthroplasty procedure.
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