Right shoulder septic arthritis

Case contributed by Dr Jan Frank Gerstenmaier


Hyperglycaemia and fevers. Right shoulder pain after twisting. Suspected fracture or dislocation.

Patient Data

Age: 74
Gender: Female

There is glenoid humeral joint malalignment with inferior displacement of the humeral head. No fracture.


Under ultrasound guidance a 19 gauge needle was inserted into the right glenohumeral joint and 10 ml of thick purulent and blood stained material was aspirated.

Case Discussion

Specimen type: synovial fluid

MICROSCOPY CELL COUNT: Leukocyte 15200 x10^6/L; Erythrocyte 3000 x10^6/L.

GRAM STAIN: Leukocytes +++ Gram positive cocci +

CULTURE: 1. Staphylococcus aureus ++

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Case information

rID: 28670
Published: 6th Apr 2014
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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