Indolent and delayed presentation of Pseudomonas aeruginosa infection of the shoulder joint after arthroscopic Bankart repair and remplissage surgery: A case report

Abstract

Case report: 54-year gentleman who underwent arthroscopic Bankart repair with remplissage presented after 1 month with non-purulent swelling of the posterolateral arthroscopic portal site. Blood and MRI studies suggested the presence of infection which was immediately treated with arthroscopic joint lavage, synovectomy and antibiotic monotherapy for 6 weeks. Culture revealed Pseudomonas aeruginosa. At 1 year follow-up, the patient was free of infection with full recovery of shoulder movements.Conclusion: Pseudomonas aeruginosa is a frequent cause of hospital-acquired infection. Indolent and delayed presentation after arthroscopic shoulder surgery is rare. Early detection and treatment on an emergency basis improve the recovery of the patient with preserved shoulder function.