Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Pyogenic Arthritis of the Shoulder in Patient with Infective Endocarditis -A Case Report-

감염성 심내막염 환자에서 동반된 화농성 견관절염 - 증례보고 -

  • Shin, Dong-Ju (Department of Orthopedic Surgery, Fatima Hospital, Daegu) ;
  • Kwon, Ki-Tae (Devision of Infectious Diseases, Fatima Hospital, Daegu) ;
  • Huh, Dong-Myeong (Department of Cardiothoracic Surgery, Fatima Hospital, Daegu) ;
  • Kim, Ji-Hwan (Department of Orthopedic Surgery, Fatima Hospital, Daegu) ;
  • Park, Jae-Young (Department of Orthopedic Surgery, Fatima Hospital, Daegu) ;
  • Lee, Chung-Yeol (Department of Orthopedic Surgery, Fatima Hospital, Daegu)
  • 신동주 (대구파티마병원 정형외과) ;
  • 권기태 (대구파티마병원 감염내과) ;
  • 허동명 (대구파티마병원 흉부외과) ;
  • 김지환 (대구파티마병원 정형외과) ;
  • 박재영 (대구파티마병원 정형외과) ;
  • 이충열 (대구파티마병원 정형외과)
  • Received : 2010.01.15
  • Accepted : 2010.05.06
  • Published : 2010.06.15
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Abstract

Purpose: We report a case of pyogenic arthritis of the shoulder secondary to infective endocarditis. Materials and Methods: A 70 year-old male who had suffered from pyogenic arthritis of the left shoulder secondary to infective endocarditis was treated with artificial valvuloplasty, arthroscopic synovectomy and drainage. Results: Infection was cured and the patient achieved a good functional outcome. Conclusion: Pyogenic arthritis of the shoulder is rarely associated with infective endocarditis. However, if the symptoms are misdiagnosed as musculoskeletal symptoms associated with infective endocarditis, serious complications may arise. As such, musculoskeletal symptoms associated with infective endocarditis should be paid careful attention.

목적: 감염성 심내막염과 동반된 견관절 화농성 관절염의 치료 경험을 보고하고자 한다. 대상 및 방법: 감염성 심내막염에 동반한 화농성 견관절염을 가진 70세 남자 환자에 대하여 심장 판막 치환술 및 관절경하 활막 절제술과 배농술을 시행 하였다. 결과: 감염에 대한 순조로운 치유와 기능의 회복을 보였다. 결론: 상대적으로 견관절에 화농성 관절염이 동반되는 경우는 매우 드문 것으로 보고 되고 있으나 감염성 심내막염에 동반하는 일반적인 근골격계 증상으로 간과한다면 심각한 합병증으로 발생할 수 있음으로 주의 깊게 판단하여야 한다고 생각한다.

Keywords

References

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