Case Report
 
Septic subacromial bursitis caused by Streptococcus pneumoniae: A case report
Abir Bou Khalil1, Ziad Hajj2, Umayya M. Musharrafieh3, Hassan Sidani4, Dania Abdallah5, Rima Abdallah Moghnieh6
1Medical Student, Department of Internal Medicine, American University of Beirut Medical School, Beirut, Lebanon.
2MD, Department of Orthopaedic Surgery, Makassed General Hospital, Beirut, Lebanon.
3MD, Department of Family Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
4MD, Head, Department of Pathology, Makassed General Hospital, Beirut, Lebanon.
5Pharm.D, Pharmacy Department, Makassed General Hospital, Beirut, Lebanon.
6MD, Department of Internal Medicine, Makassed General Hospital, Beirut, Lebanon.

doi:10.5348/ijcri-2014121-CR-10432

Address correspondence to:
Rima Abdallah Moghnieh
(MD), Department of Internal Medicine Makassed General Hospital, Beirut, Lebanon
P.O Box 11-6301 Riad El-Solh Beirut 1107 2210
Lebanon
Phone: + 961 3 829 363
Fax: +961 5 501311
Email: amlakkis@yahoo.com

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How to cite this article
Khalil AB, Hajj Z, Musharrafieh UM, Sidani H, Abdallah D, Moghnieh RA. Septic subacromial bursitis caused by Streptococcus pneumoniae: A case report. Int J Case Rep Images 2014;5(10):685–690.


Abstract
Introduction: Isolated infection of the subacromial bursa is a rare entity. Primary subacromial septic bursitis is uncommon compared to other superficial bursa because of its deep anatomic location. The potential for an underlying spread of infection to unusual sites has been reported in the setting of diabetes mellitus and can very easily be overlooked.
Case Report: We describe the clinical presentation, radiological investigations and strategies for the management of a 59-year-old diabetic male presented with subacromial bursitis as a result of Streptococcus pneumoniae infection. It resolved without sequelae using oral and parenteral antibiotics, incision and drainage, and surgical debridement. The range of motion improved gradually until full recovery.
Conclusion: Subacromial septic bursitis is rarely reported in medical literature. Its fast identification and treatment is needed to allow full recovery of range of motion.

Keywords: Subacromial, Bursitis, Streptococcus pneumoniae


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Author Contributions
Abir Bou Khalil – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published.
Ziad Hajj – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Umayya M. Musharrafieh – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Hassan Sidani – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Dania Abdallah – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Rima A. Moghnieh – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Abir Bou Khalil et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.