Rare case of postpartum septic arthritis of the shoulder caused by multi-drug resistant Kingella kingae: A case report

• Published in: International journal of surgery case reports 2024-11, Vol.126, p.110649, Article 110649
• Main Authors: Moussadiq, Mohamed, Chabihi, Zakaria, Soleh, Abdelwahed, Boumediane, El Mehdi, Benhima, Mohamed Amine, Abkari, Imad
• Format: Article
• Language: English
• Subjects: Arthroscopy; Case Report; Kingella kingae; Post-partum; Septic arthritis; Shoulder
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2024.110649

Septic arthritis is a severe joint infection that can cause permanent damage if not promptly treated. Although the shoulder is an uncommon site for this condition, Kingella kingae, typically associated with pediatric infections, can occasionally be a causative agent. Postpartum septic arthritis is rare, making this case particularly unique. We report a case of a 28-year-old woman who developed severe pain, swelling, and restricted movement in her left shoulder three weeks postpartum. Septic arthritis due to multi-drug resistant Kingella kingae was diagnosed via PCR analysis of the synovial fluid. The patient was successfully managed with intravenous antibiotics and arthroscopic drainage. This case represents a rare instance of postpartum septic arthritis of the shoulder caused by Kingella kingae. The unusual presentation highlights the importance of considering septic arthritis in postpartum women presenting with shoulder pain, even without typical risk factors. The multi-drug resistance observed in this strain underscores the necessity for comprehensive antibiotic susceptibility testing and individualized treatment strategies. This case demonstrates that successful management of postpartum septic arthritis caused by Kingella kingae can be achieved through early diagnosis, targeted antibiotic therapy, and minimally invasive surgical intervention. It emphasizes the importance of a multidisciplinary approach, thorough diagnostic evaluation, and heightened clinical suspicion in postpartum women with shoulder pain to prevent long-term complications. •This case report describes rare instance of postpartum septic arthritis of the shoulder caused by multi-drug resistant Kingella kingae, a pathogen typically associated with pediatric infections.•The patient, a 28-year-old woman, presented three weeks postpartum with severe pain, swelling, and restricted range of motion in her left shoulder.•Diagnosis was confirmed via PCR analysis of synovial fluid, identifying Kingella kingae as the causative agent.•Successful treatment involved intravenous antibiotics and arthroscopic drainage, leading to full recovery without recurrence of infection.•This case underscores the need to consider septic arthritis in postpartum women presenting with shoulder pain, even without typical risk factors, and highlights the potential role of rare and atypical pathogens in causing severe infections in this population.