title: Septic arthritis of the shoulder in a dental patient: a case report and review.
abstract: Septic arthritis of the glenohumoral joint is rare following dental procedures, comprising approximately 3% of all joint infections. Septic arthritis following bacteremia from dental procedures is uncommon and generally occurs in prosthetic joints. Predisposing causes may include immunocompromising diseases such as diabetes, HIV infection, renal failure and intravenous drug abuse. We report a rare case of unilateral glenohumoral joint septic arthritis in a 60-year-old male patient (without a prosthetic joint) secondary to a dental procedure. The insidious nature of the presentation is highlighted. Septic arthritis infections, though rare, require a high level of clinical suspicion. Vague symptoms of shoulder pain may mask the initial diagnosis, as was the case in our patient. Incision and drainage via surgical intervention are often required, followed by parenteral antibiotics.
authors.forename: Elana
authors.initials: E
authors.lastname: Dolin
authors.forename: Leigh D
authors.initials: LD
authors.lastname: Perlmutter
authors.forename: Stuart L
authors.initials: SL
authors.lastname: Segelnick
authors.forename: Mea A
authors.initials: MA
authors.lastname: Weinberg
authors.forename: Robert
authors.initials: R
authors.lastname: Schoor
mesh_terms: D001170:Arthritis, Infectious / Q000175:diagnosis* / Q000209:etiology; D001182:Arthroscopy / Q000379:methods; D016470:Bacteremia / Q000382:microbiology*; D055113:Chronic Periodontitis / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D057747:Periodontal Debridement; D016059:Range of Motion, Articular / Q000502:physiology; D012785:Shoulder Joint / Q000382:microbiology*; D013290:Streptococcal Infections / Q000175:diagnosis; D013296:Streptococcus pneumoniae / Q000302:isolation & purification; D013585:Synovitis / Q000382:microbiology