Shoulder paralysis as a presentation of septic arthritis with intramuscular scapular abscess – a case report
We present a 31-year-old immunocompromised woman with shoulder septic arthritis and an infraspinatus abscess presenting with paralysis secondary to axillary neuropathy after an intra-articular injection. At 12 months, mobility and normal functioning were restored. This first reported adult case highlights the need for high suspicion of septic arthritis in immunocompromised patients and emphasizes effective management strategies.
Authors
- Maria João Leite (ORCID: https://orcid.org/0000-0002-4270-7130)
- Pedro Negrão (ORCID: https://orcid.org/0000-0002-4962-0302)
- Ana Rita Senra
- João Pedro Vieira (ORCID: https://orcid.org/0000-0002-0318-9297)
- Nuno Nevès (ORCID: https://orcid.org/0000-0002-5413-435X)
- Manuel Ribeiro da Silva (ORCID: https://orcid.org/0000-0001-7520-2385)
- Carlos Maia Dias (ORCID: https://orcid.org/0000-0003-3407-7658)
Institutions
- Universidade do Porto (PT)
- Hospital de São João (PT)
- CUF Porto Hospital (PT)
- Hospital do Divino Espírito Santo (PT)
- Hospital da Luz (PT)
Publication Details
- Journal
- Journal of Bone and Joint Infection
- Published
- 2025-06-06
- DOI
- https://doi.org/10.5194/jbji-10-193-2025
- Citations
- 1
- Primary Topic
- Shoulder Injury and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 2.01