Journal of Bone and Joint Infection
Journal of Bone and Joint Infection
JBJI
Articles | Volume 10, issue 3
Articles | Volume 10, issue 3
https://doi.org/10.5194/jbji-10-193-2025
© Author(s) 2025. This work is distributed under
the Creative Commons Attribution 4.0 License.
https://doi.org/10.5194/jbji-10-193-2025
© Author(s) 2025. This work is distributed under
the Creative Commons Attribution 4.0 License.
Articles | Volume 10, issue 3
Case report
 | 
06 Jun 2025
Case report |  | 06 Jun 2025

Shoulder paralysis as a presentation of septic arthritis with intramuscular scapular abscess – a case report

Ana Rita Senra, João Pedro Vieira, Pedro Negrão, Nuno Neves, Carlos Maia Dias, Maria João Leite, and Manuel Ribeiro Silva

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Latest update: 26 Oct 2025
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Short summary
We report the first case of axillary nerve neuropathy in an adult secondary to shoulder septic arthritis with abscess formation. Prompt surgical drainage, lavage, and targeted antibiotic therapy led to full recovery. This case also highlights the risks of intra-articular injections, particularly in immunocompromised patients, and underscores the importance of maintaining a high index of suspicion for septic arthritis in this population, even when the classic signs are absent.
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