HSS Journal ®

, Volume 14, Issue 3, pp 299–301 | Cite as

Septic Shoulder Joint After Pneumococcal Vaccination Requiring Surgical Debridement

  • Michael J. DeRogatis
  • Lalitha Parameswaran
  • Patrick Lee
  • Theodore G. Mayer
  • Paul S. Issack
Case Report


Inflammatory complications after routine vaccination, including pain, local erythema, and bursitis, have been reported. Several cases of bursitis after vaccination, most commonly with the pneumococcal and influenza vaccines, have been reported in the literature [1, 2, 3, 4, 5, 6, 7, 8]. Many of these cases have been attributed to poor technique of the administrator or an inflammatory reaction when the vaccine is deposited in the subdeltoid space [1, 3, 7]. Many of these reactions are self-limiting and demonstrate good relief with subacromial corticosteroid injection [1, 2, 3, 4, 7]. We report a case of a patient who rapidly developed a septic shoulder joint after pneumococcal vaccination in her right deltoid. This required prompt surgical shoulder arthrotomy, irrigation, and debridement.

Case Report

The patient was a 90-year-old woman (4 ft, 10 in.; 47 kg; body mass index, 21.9 kg/m2) with a history of hypertension and asthma who presented with increasing right shoulder...


septic arthritis vaccination pneumococcal vaccine bursitis 


Compliance with Ethical Standards

Conflict of Interest

Michael J. DeRogatis, MS, Lalitha Parameswaran, MD, Patrick Lee, PA-C, Theodore G. Mayer, MD, and Paul S. Issack, MD, PhD, declare that they have no conflicts of interest.

Human/Animal Rights

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2013.

Informed Consent

Informed consent was obtained from the patient for being included in this case study.

Required Author Forms

Disclosure forms provided by the authors are available with the online version of this article.

Supplementary material

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Copyright information

© Hospital for Special Surgery 2018

Authors and Affiliations

  • Michael J. DeRogatis
    • 1
  • Lalitha Parameswaran
    • 2
  • Patrick Lee
    • 1
  • Theodore G. Mayer
    • 3
  • Paul S. Issack
    • 1
    • 4
  1. 1.Department of Orthopaedic SurgeryNew York-Presbyterian HospitalNew YorkUSA
  2. 2.Department of MedicineNew York-Presbyterian HospitalNew YorkUSA
  3. 3.Department of Pathology and Laboratory MedicineNew York-Presbyterian HospitalNew YorkUSA
  4. 4.New YorkUSA

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