Synchronous Subacromial and Subdeltoid Bursal Abscess and Pyomyositis of Rotator Cuff Muscles Caused by Viridans Streptococcus

Sheng Min Lan, Cheng Li Lin, Chien Kuo Wang, Sheng Pin Lo, I. Ming Jou, Wei Ren Su

研究成果: Article

2 引文 (Scopus)

摘要

The most common causal organism in septic bursitis and pyomyositis is Staphylococcus aureus. Primary subacromial and subdeltoid abscess caused by viridans Streptococcus infection has never been reported and, to our knowledge, nor has diffuse pyomyositis of the rotator cuff associated with subacromial abscess. We describe the clinical presentation, radiological investigations and strategies for the management of a 56-year-old female who presented with purulent subacromial/subdeltoid bursitis and abscess formation in the rotator cuff muscles as a result of viridans Streptococcus infection. Because of its deep anatomic location, primary subacromial/subdeltoid septic bursitis and pyomyositis of rotator cuff muscles are rarely reported. The immunocompromise caused by diabetes mellitus presented a risk factor for the unusual infection observed in this patient. Magnetic resonance imaging aided the diagnosis. Treatment consisted of surgical debridement and drainage, with antibiotic administration, which resolved the infection without sequelae.

原文English
頁(從 - 到)196-198
頁數3
期刊Shoulder and Elbow
4
發行號3
DOIs
出版狀態Published - 2012 七月 1

指紋

Pyomyositis
Viridans Streptococci
Rotator Cuff
Bursitis
Abscess
Muscles
Infection
Debridement
Staphylococcus aureus
Drainage
Diabetes Mellitus
Magnetic Resonance Imaging
Anti-Bacterial Agents

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Surgery
  • Rehabilitation

引用此文

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abstract = "The most common causal organism in septic bursitis and pyomyositis is Staphylococcus aureus. Primary subacromial and subdeltoid abscess caused by viridans Streptococcus infection has never been reported and, to our knowledge, nor has diffuse pyomyositis of the rotator cuff associated with subacromial abscess. We describe the clinical presentation, radiological investigations and strategies for the management of a 56-year-old female who presented with purulent subacromial/subdeltoid bursitis and abscess formation in the rotator cuff muscles as a result of viridans Streptococcus infection. Because of its deep anatomic location, primary subacromial/subdeltoid septic bursitis and pyomyositis of rotator cuff muscles are rarely reported. The immunocompromise caused by diabetes mellitus presented a risk factor for the unusual infection observed in this patient. Magnetic resonance imaging aided the diagnosis. Treatment consisted of surgical debridement and drainage, with antibiotic administration, which resolved the infection without sequelae.",
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AU - Lan, Sheng Min

AU - Lin, Cheng Li

AU - Wang, Chien Kuo

AU - Lo, Sheng Pin

AU - Jou, I. Ming

AU - Su, Wei Ren

PY - 2012/7/1

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N2 - The most common causal organism in septic bursitis and pyomyositis is Staphylococcus aureus. Primary subacromial and subdeltoid abscess caused by viridans Streptococcus infection has never been reported and, to our knowledge, nor has diffuse pyomyositis of the rotator cuff associated with subacromial abscess. We describe the clinical presentation, radiological investigations and strategies for the management of a 56-year-old female who presented with purulent subacromial/subdeltoid bursitis and abscess formation in the rotator cuff muscles as a result of viridans Streptococcus infection. Because of its deep anatomic location, primary subacromial/subdeltoid septic bursitis and pyomyositis of rotator cuff muscles are rarely reported. The immunocompromise caused by diabetes mellitus presented a risk factor for the unusual infection observed in this patient. Magnetic resonance imaging aided the diagnosis. Treatment consisted of surgical debridement and drainage, with antibiotic administration, which resolved the infection without sequelae.

AB - The most common causal organism in septic bursitis and pyomyositis is Staphylococcus aureus. Primary subacromial and subdeltoid abscess caused by viridans Streptococcus infection has never been reported and, to our knowledge, nor has diffuse pyomyositis of the rotator cuff associated with subacromial abscess. We describe the clinical presentation, radiological investigations and strategies for the management of a 56-year-old female who presented with purulent subacromial/subdeltoid bursitis and abscess formation in the rotator cuff muscles as a result of viridans Streptococcus infection. Because of its deep anatomic location, primary subacromial/subdeltoid septic bursitis and pyomyositis of rotator cuff muscles are rarely reported. The immunocompromise caused by diabetes mellitus presented a risk factor for the unusual infection observed in this patient. Magnetic resonance imaging aided the diagnosis. Treatment consisted of surgical debridement and drainage, with antibiotic administration, which resolved the infection without sequelae.

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