Abstract
Septic arthritis of the acromioclavicular (AC) joint is a rare entity with symptoms that include erythema, swelling, and tenderness over the AC joint, fever, and limitation of shoulder motion with pain. In previous reports, Staphylococcus and Streptococcus species have been mentioned as common causative organisms. Haemophilus parainfluenzae is a normal inhabitant of the oral cavity, respiratory tract, gastrointestinal tract, and urogenital tract. However, it sometimes causes opportunistic infections leading to septic arthritis and osteomyelitis. AC joint infection associated with H.parainfluenzae is very rare, and only one case has been reported in the literature. Moreover, septic arthritis in immunocompetent patients is also very rare. Here, we report the case of a healthy patient with H. parainfluenzae-related septic arthritis of the AC joint.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Blankstein A, Amsallem JL, Rubinstein E, Horoszowski H, Farin I (1985) Septic arthritis of the acromioclavicular joint. Arch Orthop Trauma Surg 103(6):417–418
Hammel JM, Kwon N (2005) Septic arthritis of the acromioclavicular joint. J Emerg Med 29(4):425–427
Bossert M, Prati C, Bertolini E, Toussirot E, Wendling D (2010) Septic arthritis of the acromioclavicular joint. Joint Bone Spine 77(5):466–469
Chirag AS, Ropiak CR, Bosco JA 3rd, Egol KA (2007) Septic arthritis of the acromioclavicular joint—a report of four cases. Bull NYU Hosp Jt Dis 65(4):308–311
Zimmermann B 3rd, Erickson AD, Mikolich DJ (1989) Septic acromioclavicular arthritis and osteomyelitis in a patient with acquired immunodeficiency syndrome. Arthritis Rheum 32(9):1175–1178
Adams R, McDonald M (1984) Cryptococcal arthritis of the acromio-clavicular joint. N C Med J 45(1):23–24
Nade S (1983) Acute septic arthritis in infancy and childhood. J Bone Joint Surg (Br) 65:234
Martínez-Morillo M, Mateo Soria L, Riveros Frutos A, Tejera Segura B, Holgado Pérez S, Olivé Marqués A (2013) Septic arthritis of the acromioclavicular joint: an uncommon location. Reumatol Clin 1. pii: S1699-258X(13)00174-5
Sims W (1970) Oral haemophili. J Med Microbiol 3:615–625
Oill PA, Chow AW, Guze LB (1979) Adult bacteremic Haemophilus parainfluenzae infections: seven reports of cases and a review of the literature. Arch Intern Med 139:985–988
Khor BS, Liaw SJ, Liao HC, Yang CC, Lee MH (2007) Bone and joint infections caused by Haemophilus parainfluenzae: report of two cases and literature review. Infect Dis Clin Pract 15(3):206–208
Carey TW, Jackson K, Roure R, Abell BE (2010) Acromioclavicular septic arthritis: a case report of a novel pathogen. Am J Orthop 39(3):134–136
Iyengar KP, Gudena R, Chitgopkar SD et al (2009) Primary septic arthritis of the acromio-clavicular joint: case report and review of literature. Arch Orthop Trauma Surg 129:83–86
Battaglia TC (2008) Ochrobactrum anthropi septic arthritis of the acromioclavicular joint in an immunocompetent 17-year-old. Orthopedics 31:606
Dubost JJ, Soubrier M, Sauvezie B (2000) Pyogenic arthritis in adults. Joint Bone Spine 67:11–21
Widman DS, Craig JG, van Holsbeeck MT (2001) Sonographic detection, evaluation and aspiration of infected acromioclavicular joints. Skelet Radiol 30:388–392
Tan V, Pepe MD, Esterhai JL (1999) Sepsis of the shoulder girdle. In: Iannotti P, Williams GR (eds) Disorders of the shoulder: diagnosis and management. Lippincott Williams & Wilkins, Philadelphia, PA, pp 951–973
Disclosures
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Hong, MJ., Kim, YD. & Ham, HD. Acute septic arthritis of the acromioclavicular joint caused by Haemophilus parainfluenzae: a rare causative origin. Clin Rheumatol 34, 811–814 (2015). https://doi.org/10.1007/s10067-014-2554-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10067-014-2554-x