Septic arthritis presenting as brachial plexus neurophaty

Bone and joint infections are rare in the neonatal period. They often present with pseudo paralysis of the affected limb due to pain and discomfort caused by movement. The existence of a concomitant neuropathy is a rare and insufficiently understood phenomenon with few cases described. The authors r...

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Bibliographic Details
Published in:BMJ case reports 2011, Vol.2011 (feb24 1), p.bcr1220103562-bcr1220103562
Main Authors: Mascarenhas, A, Almeida, C, Constantino, C, Soudo, A P, Calado, E, Vieira, J P
Format: Article
Language:English
Subjects:
12 Months
Antibiotics
Arthritis
Arthritis, Infectious - complications
Arthritis, Infectious - diagnosis
Brachial plexus
Brachial Plexus Neuropathies - etiology
Europe (West)
Humans
Infant
Infections
Male
Newborn babies
Patients
Staphylococcal Infections - complications
Staphylococcal Infections - diagnosis
Unusual Association of Diseases/Symptoms
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Summary:Bone and joint infections are rare in the neonatal period. They often present with pseudo paralysis of the affected limb due to pain and discomfort caused by movement. The existence of a concomitant neuropathy is a rare and insufficiently understood phenomenon with few cases described. The authors report the case of a 7-week infant, born prematurely and with Staphylococcus aureus neonatal sepsis, who presented to the emergency room with a paretic right upper limb. Osteoarticular infection complicated with brachial plexus neuropathy was considered and MRI and electromyography the confirmed diagnosis. There was a good outcome after antibiotic treatment and functional rehabilitation.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr.12.2010.3562