Shoulder Tuberculosis: Management of a Posteriori Diagnosis After a Reverse Prosthesis Implantation

We report a rare case of reverse shoulder prosthesis implantation in a patient retrospectively showing a chronic tuberculous osteoarthritis and meningitis. In this atypical presentation, the patient presented only a chronic shoulder pain, with no clinical or imaging sign of tuberculosis. After the i...

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Main Authors: Giordano G., Lourtet-Hascoët J., Martin Blondel G., Bonnet E.
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/crdi/8378621
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author Giordano G.
Lourtet-Hascoët J.
Martin Blondel G.
Bonnet E.
author_facet Giordano G.
Lourtet-Hascoët J.
Martin Blondel G.
Bonnet E.
author_sort Giordano G.
collection DOAJ
description We report a rare case of reverse shoulder prosthesis implantation in a patient retrospectively showing a chronic tuberculous osteoarthritis and meningitis. In this atypical presentation, the patient presented only a chronic shoulder pain, with no clinical or imaging sign of tuberculosis. After the implantation of a reverse shoulder prosthesis, the patient presented a reactivation of a tuberculosis causing a meningitis. The diagnosis of shoulder osteoarthritis caused by M. tuberculosis was confirmed retrospectively on deep perioperative samples by standard culture, PCR, and positive pathology. The management of the patient consisted in 12 months of a medical antituberculosis therapy and showed a favorable outcome.
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institution Kabale University
issn 2090-6633
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publishDate 2025-01-01
publisher Wiley
record_format Article
series Case Reports in Infectious Diseases
spelling doaj-art-73cdb50253574668b59e03329eb4602d2025-08-20T03:27:22ZengWileyCase Reports in Infectious Diseases2090-66332025-01-01202510.1155/crdi/8378621Shoulder Tuberculosis: Management of a Posteriori Diagnosis After a Reverse Prosthesis ImplantationGiordano G.0Lourtet-Hascoët J.1Martin Blondel G.2Bonnet E.3Orthopedic-Traumatology DepartmentMicrobiology UnitInfection Disease DepartmentMobile Infectiologist-Microbiology TeamWe report a rare case of reverse shoulder prosthesis implantation in a patient retrospectively showing a chronic tuberculous osteoarthritis and meningitis. In this atypical presentation, the patient presented only a chronic shoulder pain, with no clinical or imaging sign of tuberculosis. After the implantation of a reverse shoulder prosthesis, the patient presented a reactivation of a tuberculosis causing a meningitis. The diagnosis of shoulder osteoarthritis caused by M. tuberculosis was confirmed retrospectively on deep perioperative samples by standard culture, PCR, and positive pathology. The management of the patient consisted in 12 months of a medical antituberculosis therapy and showed a favorable outcome.http://dx.doi.org/10.1155/crdi/8378621
spellingShingle Giordano G.
Lourtet-Hascoët J.
Martin Blondel G.
Bonnet E.
Shoulder Tuberculosis: Management of a Posteriori Diagnosis After a Reverse Prosthesis Implantation
Case Reports in Infectious Diseases
title Shoulder Tuberculosis: Management of a Posteriori Diagnosis After a Reverse Prosthesis Implantation
title_full Shoulder Tuberculosis: Management of a Posteriori Diagnosis After a Reverse Prosthesis Implantation
title_fullStr Shoulder Tuberculosis: Management of a Posteriori Diagnosis After a Reverse Prosthesis Implantation
title_full_unstemmed Shoulder Tuberculosis: Management of a Posteriori Diagnosis After a Reverse Prosthesis Implantation
title_short Shoulder Tuberculosis: Management of a Posteriori Diagnosis After a Reverse Prosthesis Implantation
title_sort shoulder tuberculosis management of a posteriori diagnosis after a reverse prosthesis implantation
url http://dx.doi.org/10.1155/crdi/8378621
work_keys_str_mv AT giordanog shouldertuberculosismanagementofaposterioridiagnosisafterareverseprosthesisimplantation
AT lourtethascoetj shouldertuberculosismanagementofaposterioridiagnosisafterareverseprosthesisimplantation
AT martinblondelg shouldertuberculosismanagementofaposterioridiagnosisafterareverseprosthesisimplantation
AT bonnete shouldertuberculosismanagementofaposterioridiagnosisafterareverseprosthesisimplantation