A rare case report: Brucellosis as an extreme cause of shoulder subluxation and rotator cuff tendinopathy

Author:

Tang Bo1,Fan Cheng1ORCID

Affiliation:

1. Sports Medicine Center, First People’s Hospital of Xining City, Xining, Qinghai, China.

Abstract

Rationale: Shoulder subluxation and rotator cuff tendinopathy is commonly associated with degeneration or trauma, and brucellosis has been reported to be correlated with shoulder subacromial bursitis, arthritis. However, brucellosis as a cause of shoulder subluxation and rotator cuff tendinopathy has never been reported in the English medical literature. Patient concerns: A 46-year-old man complained of left shoulder weakness and limited movement ongoing for 1 month. He was primarily diagnosed with shoulder subluxation and rotator cuff tear based on magnetic resonance imaging, and was advised to undergo arthroscopic rotator cuff surgical repair. Diagnoses: Although rotator cuff tear was diagnosed in another hospital, some doubts remained. First, a tendon profile with a relative high signal in T2-weighted magnetic resonance images in the supraspinatus tear area still existed. The findings were clearly different from the usual full-thickness rotator cuff tear, and no tendon profile could be found in the tear area. Second, degenerative rotator cuff tear mainly occurs in the aged population and this patient was relatively young, without a history of trauma. His left shoulder was painless but the weakness and the limited movement were extreme and all of these factors did not support the diagnosis of rotator cuff tear. Some infectious disease was suspected to be the cause and relevant laboratory tests were conducted. This patient was eventually diagnosed as having brucellosis-associated shoulder subluxation and rotator cuff tendinopathy based on positive serum standard tube agglutination test and buffer plate agglutination test for brucellosis. Interventions: Oral drug therapy with rifampicin and doxycycline was used for 8 weeks. Outcomes: A complete response with normal shoulder strength and movement was achieved at 8 weeks. At the one-year follow-up no signs of recurrence were detected. Lessons: Brucellosis-associated shoulder subluxation and rotator cuff tendinopathy may be misdiagnosed as a rotator cuff tear in magnetic resonance imaging and be further managed with indeterminate arthroscopic repair. A comprehensive understanding of the patient’s previous medical history, imaging and laboratory data and a careful physical examination are of great clinic value for the accurate diagnosis of the condition and the subsequent prognosis of the patient.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference9 articles.

1. Bovine brucellosis: epidemiology, public health implications, and status of brucellosis in Ethiopia.;Tulu;Vet Med (Auckl),2022

2. Rare form of brucellosis, subacromial and subdeltoid bursitis: a case report and literature review.;Çatal;Eklem Hastalik Cerrahisi,2019

3. Atypical presentation of shoulder brucellosis misdiagnosed as subacromial bursitis: a case report.;Wang;World J Clin Cases,2021

4. Localización inusual en hombro de artritis brucelósica [Unusual localization of brucellosis related arthritis of the shoulder].;Oteiza;Rev Clin Esp,2001

5. Neuralgic amyotrophy of the shoulder associated with systemic brucellosis.;Ara;Med Clin (Barc),1992

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3