Cooper Blair, Obi Nnamdi Jonathan Chukwura, Cheng Kenneth
Trauma and Orthopaedics, University Hospital Ayr, Ayr, UK
Trauma and Orthopaedics, University Hospital Ayr, Ayr, UK.
BMJ Case Rep. 2021 Jun 21;14(6):e241648. doi: 10.1136/bcr-2021-241648.
Septic arthritis of the acromioclavicular joint (ACJ) is a rare pathology with very few documented case reports available in the literature. In addition, ACJ septic arthritis secondary to methicillin-resistant (MRSA) is a rarer pathology with only two previously documented case reports in the medical literature to our knowledge. We present the case of a 46-year-old man who was diagnosed with a confirmed ACJ septic arthritis secondary to MRSA following admission to the local trauma and orthopaedic service at a district general hospital. We aim to give an insight into this pathology and highlight the importance of the relationship between orthopaedics and microbiology in optimising patient care, particularly in a period of rising rates of antimicrobial resistance.
肩锁关节（ACJ）化脓性关节炎是一种罕见的病症，文献中记载的病例报告极少。此外，耐甲氧西林金黄色葡萄球菌（MRSA）继发的ACJ化脓性关节炎更为罕见，据我们所知，医学文献中仅有两篇先前记载的病例报告。我们报告一例46岁男性病例，该患者在一家地区综合医院的当地创伤与骨科科室就诊后，被确诊为MRSA继发的确诊ACJ化脓性关节炎。我们旨在深入了解这种病症，并强调骨科与微生物学之间的关系在优化患者护理方面的重要性，尤其是在抗菌药物耐药率不断上升的时期。
