Hammel Jean M, Kwon Nancy
Department of Emergency Medicine, New York University/Bellevue Medical Center, New York, NY 10016, USA.
J Emerg Med. 2005 Nov;29(4):425-7. doi: 10.1016/j.jemermed.2005.05.004.
Septic arthritis of the acromioclavicular (AC) joint is a rare but rapidly destructive etiology of acute shoulder pain. We report a case of septic AC joint in the absence of trauma or intravenous drug use. A diabetic man presented with severe right shoulder pain and was later diagnosed with septic arthritis of the AC joint by magnetic resonance imaging (MRI) and positive blood cultures. Chronic diabetic foot ulcers were the source of the patient's group B streptococcus bacteremia.
肩锁关节化脓性关节炎是急性肩部疼痛的一种罕见但破坏性迅速的病因。我们报告一例无创伤或静脉药物使用史的肩锁关节化脓性关节炎病例。一名糖尿病男性患者出现严重的右肩疼痛，后来通过磁共振成像（MRI）和血培养阳性被诊断为肩锁关节化脓性关节炎。慢性糖尿病足溃疡是该患者B组链球菌菌血症的来源。
