Septic Shoulder Joint After Pneumococcal Vaccination Requiring Surgical Debridement
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.
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...
Keywordsseptic arthritis vaccination pneumococcal vaccine bursitis
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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.
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 was obtained from the patient for being included in this case study.
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