Glenohumeral Joint Sepsis after Joint Injection through a New Tattoo
This is an unfortunate case of a young male who acquired a septic arthritis of his right shoulder following one of two arthrograms. Sterile technigue was followed for both procedures and no cause was found during a Joint Commission Root cause analysis. Of interest was the causitive organism: Propionibacterium acnes, an organism common to orthopedic shoulder surgeries and hardware implants, but uncommon to arthrograms. I feel this is an interesting case because it is both an unusual pathogen and presented with an interesting differential diagnosis. This included: Pasonage-Turner syndrome, Charcot arthropathy, and septic joint. Is also a good review of the different presentation of Propionibacterium acnes vs classic Staph shoulder infections.