13 August 2024
: Case report 
Effective Management of Methicillin-Resistant Shoulder Septic Arthritis Using Continuous Local Antibiotic Perfusion: A Case Study and Long-Term Follow-Up
Unusual setting of medical care, Rare disease
Shunya Yamaguchi1BDE, Shusuke Ueda1ABCDEF*, Toru Ichiseki12ABCDEFG, Daisuke Soma1B, Ayumi Kaneuji1G, Norio Kawahara1DGDOI: 10.12659/AJCR.944491
Am J Case Rep 2024; 25:e944491
Table 1. Previous case presentations of septic arthritis of the shoulder at our institute.
| Case | Age (years) | Underlying disease/pre-existing disease | Causative bacteria | Period of time between infection and bacterial examination (days) | Duration of follow-up (months) | Recurrence |
|---|---|---|---|---|---|---|
| 1 | 83 | Diabetes mellitus, hyperuricemia, renal dysfunction | (MSSA) | 0 | 55 | (−) |
| 2 | 66 | Lupus nephritis due to SLE (dialysis treatment) | 1 | 20 | (−) | |
| 3 | 61 | Epidural abscess | (MSSA) | 0 | 47 | (−) |
| 4 | 69 | Epidural abscess, pneumonia, gingival abscess | Group G β- | 0 | 82 | (−) |
| 5 | 78 | Diabetes mellitus, pseudogout | (MSSA) | 0 | 15 | (−) |
| 6 | 69 | Chronic renal failure (dialysis treatment), renal anemia, hepatitis B, hepatitis C, glaucoma, oral glucocorticoids use | coagulase-negative (MRCNS) | 1 | 72 | (−) |
| 7 | 82 | Asymptomatic cerebral infarction, hypertension, oral glucocorticoids use | (MRSA) | 0 | 60 | (−) |
| 8 | 88 | Prostate cancer, diabetes, cholecystolithiasisAtrioventricular block (PMI), early gastric cancer | coagulase-negative (MRCNS) | 2 | 48 | (−) |
| 9 | 68 | Unstable angina, lacunar infarction, hypertension, dyslipidemia, chronic renal failure due to IgA nephropathy, multiple myeloma, secondary hyperthyroidism, ascending colon ulcer, skin ulcer | (MRSA) | 0 | 41 | (+) |
| 10 | 50 | (−) | (Group B) | 5 | 18 | (−) |
| MRCNS – methicillin-resistant coagulase-negative ; MRSA – methicillin-resistant ; MSSA – methicillin-susceptible ; PMI – after pacemaker implantation surgery; SLE – systemic lupus erythematosus. | ||||||