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Case Reports in Rheumatology
Volume 2012 (2012), Article ID 720297, 5 pages
http://dx.doi.org/10.1155/2012/720297
Case Report

Streptococcus agalactiae Septic Arthritis of the Shoulder and the Sacroiliac Joints: A Case Report

1General Medicine Division, Department of Medicine, Hamad Medical Corporation, P.O. Box 3050, Doha, Qatar
2Rheumatology Division, Department of Medicine, Hamad Medical Corporation, P.O. Box 3050, Doha, Qatar
3Weill Cornell Medical School, Hamad Medical Corporation, P.O. Box 3050, Doha, Qatar
4Department of Radiology, Faculty of Medicine, Cairo University, Giza, Egypt

Received 26 May 2012; Accepted 24 July 2012

Academic Editors: R. Cevik and T. C. Hsu

Copyright © 2012 Yahia Z. Imam et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Invasive group beta-streptococcal arthritis is being increasingly diagnosed as suggested by recent data. We report a case of a middle-aged lady from Sri Lanka who developed septic arthritis of the right shoulder and the left sacroiliac joint as well as an iliopsoas collection caused by Streptococcus agalactiae shortly after labor at Hamad General Hospital in Doha, Qatar. We conclude that Streptococcus agalactiae septic arthritis is rare. It can present with invasive disease in adults. It usually targets older females and immuno compromised patients especially those with risk factors for bacteraemia. Therefore a high index of suspicion is needed. Shoulder and sacroiliac joint affection is not uncommon for unknown reasons. Utilizing imaging modalities such as ultrasonography and magnetic resonance imaging is helpful.