Recent Biventricular ICD Replacement as Suspected Infectious Source of MRSA Septic Arthritis of the Shoulder: A Case Study

Document Type

Conference Proceeding - Restricted Access

Publication Date

5-9-2025

Abstract

Septic arthritis is common in children and adults > 55, and most attributable to Staphylococcus aureus via hematogenous spread, direct joint seeding, or contiguous infection spread. Shoulder septic arthritis accounts for 3-15% of cases, often resulting in recurrent joint infection and decreased joint function. Emergency department (ED) management is complicated by many mimics, and the need for high clinical suspicion due to a lack of adequate sensitivity in peripheral WBC, ESR, and comorbidities alone. However, early diagnosis is key in reducing morbidity and mortality, estimated as high as 11%. Postoperative bloodstream infection is a known risk of de novo cardiac device implantation and system revisions. Although both Septic arthritis and cardiac device infections are well described in the literature, there is very little that links the two.

Comments

2025 Research Day Corewell Health West, Grand Rapids, MI, May 9, 2025. Abstract 1789

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