Atypical presentation of shoulder brucellosis misdiagnosed as subacromial bursitis:A case report  

作　　者：Fu-Sheng Wang Khurram Shahzad Wei-Guo Zhang Jie Li Kang Tian 

机构地区：[1]Department of Bone and Joint,First Hospital of Dalian Medical University,Dalian 116000,Liaoning Province,China

出　　处：《World Journal of Clinical Cases》2021年第4期927-934,共8页世界临床病例杂志

基　　金：Supported by National Natural Science Foundation of China,No.81601901;Natural Science Foundation of Liaoning No.2019-MS-079 and No.20170540285.

摘　　要：BACKGROUND Brucella infections in the shoulder joint are uncommon,and few have been reported in the literature.CASE SUMMARY A 26-year-old male was admitted to our hospital with complaint of recurrent pain and limited movement of the right shoulder.The patient reported the pain to have first occurred as an isolated event 6 mo previously and to have reoccurred 5 mo later,when it was accompanied by limited movement of the shoulder.Findings from physical examination and magnetic resonance imaging(referred to as MRI)suggested the diagnosis of subacromial bursitis,and diagnostic paracentesis and arthroscopic debridement were performed.Surprisingly,synovial fluid culture detected brucella,and the finding was confirmed by mass spectrometry of a colony sample.The diagnosis was corrected to brucellosis of the shoulder joint,and antibiotic drug treatment(oral rifampicin and doxycycline)was administrated for 6 wk.The 4-mo postoperative follow-up examination(MRI)yielded normal findings.The 2-year follow-up showed no signs of recurrence.CONCLUSION This rare case of brucellosis infection in shoulder highlights the importance of increasing awareness to help avoid misdiagnosis.

关 键 词：SHOULDER MISDIAGNOSIS BRUCELLOSIS Subacromial bursitis BRUCELLA Case report 

分 类 号：R516.7[医药卫生—内科学]