A Case of Septic Arthritis and Osteomyelitis Due to Methicillin-Resistant Staphylococcus Aureus in the Shoulder Joint of a Healthy Newbo

Year 2025, Volume: 7 Issue: 2, 289 - 294, 23.06.2025

Midhat Kuşkaya

https://doi.org/10.52827/hititmedj.1599859

Abstract

Acute osteomyelitis with septic arthritis, which is uncommon in neonates, needs to be quickly diagnosed and treated to avoid devastating sequelae. We here in report a case of osteomyelitis with septic arthritis of the shoulder caused by Methicillin-resistant Staphylococcus aureus in a 24-day-old neonate with no preexisting disease is reported. Physical examination revealed swelling and local heat around the right shoulder accompanied by the limitation of spontaneous movements of the right arm and painful crying with careful passive arm motion. A magnetic resonance imaging study revealed the presence of joint fluid in the shoulder joint and swelling of soft tissues. Arthrotomy was done with parenteral antibiotic therapy for six weeks to which the child responded well. We present this case because it is a very rare case of acute septic arthritis and osteomyelitis due to methicillin-resistant Staphylococcus aureus in the shoulder joint, which was previously healthy in the neonatal period.

Keywords

Healthy newborn , osteomyelitis , septic arthritis , shoulder

Sağlıklı Bir Yenidoğanın Omuz Ekleminde Metisiline Dirençli Stafilokok Aureus’a Bağlı Gelişen Septik Artrit ve Osteomyelit Olgusu

Abstract

Akut septik artrit ve osteomyelit,yenidoğanlarda nadir görülen, sekel oluşmaması için hızlı tanı konulması ve tedavi edilmesi gereken hastalıklardır. 24 günlük, öncesinde sağlıklı olan yenidoğanda metisiline dirençli Staphylococcus aureus’a bağlı omuz ekleminde gelişen akut septik artrit ve osteomyelit olgusunu sunuyoruz. Fizik muayenesinde sağ omuzda lokal ısı artışı ve şişlik, sağ el spontan hareketlerinde kısıtlılık ve pasif el hareketlerinde ağrıya bağlı ağlama görüldü. Manyetik rezonans görüntülemede omuz ekleminde sıvı artımı ve yumuşak dokularda şişlik saptandı. Artrotomi ve sonrasında altı hafta devam eden parenteral antibiyotik tedavisine iyi cevap alındı. Yenidoğan döneminde öncesinde sağlıklı olup, omuz ekleminde metisiline dirençli Staphylococcus aereus’a bağlı gelişen çok nadir bir akut septik artrit ve osteomyelit olgusu olması nedeni ile bu olguyu sunuyoruz.

Keywords

Omuz , osteomiyelit , sağlıklı , septik artrit , yenidoğan

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