Shoulder Pain: A Presentation of Bilateral Gonococcal Arthritis of the Shoulders

Abstract This is a report of a 47-year-old man presenting to the Emergency Department complaining of bilateral shoulder pain after developing pain in the right shoulder about 1½–2 weeks prior after heavy lifting while at work. Clinical suspicion of Gonococcal arthritis was confirmed on the basis of...

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Bibliographic Details
Published inThe Journal of emergency medicine Vol. 36; no. 1; pp. 19 - 22
Main Authors Yadav, Ajay, MD, Nazeer, Shameem R., MD, Wainscott, Michael P., MD, Miller, Adam H., MD, MSC, FACEP
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 2009
Subjects
arthritis
Arthritis, Infectious - diagnosis
Arthritis, Infectious - microbiology
Emergency
gonococcal arthritis
Gonorrhea
Hepatitis C, Chronic - complications
HIV Infections - complications
Humans
Male
Middle Aged
Neisseria gonorrhoeae - isolation & purification
Neisseriaceae Infections - diagnosis
septic arthritis
shoulder pain
Substance Abuse, Intravenous - complications
Synovial Fluid - microbiology
gonococcal arthritis
septic arthritis
Gonorrhea
arthritis
shoulder pain
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Summary:Abstract This is a report of a 47-year-old man presenting to the Emergency Department complaining of bilateral shoulder pain after developing pain in the right shoulder about 1½–2 weeks prior after heavy lifting while at work. Clinical suspicion of Gonococcal arthritis was confirmed on the basis of laboratory studies. Although Gonococcal arthritis is occasionally associated with uniarticular arthritis, this patient presented with bilateral joint involvement.
ISSN:0736-4679
2352-5029
DOI:10.1016/j.jemermed.2007.03.007