{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T17:38:46Z","timestamp":1787506726901,"version":"build-2736575974"},"reference-count":19,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,4,28]]},"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:p>\n                    A 68-year-old woman presented for left shoulder pain, decreased range of motion (ROM) and fever 7\u2009days following COVID-19 vaccination. Investigations showed a tender left deltoid mass, decreased shoulder ROM and elevated inflammatory markers. MRI demonstrated a large glenohumeral effusion with synovitis, and arthrocentesis confirmed septic arthritis (SA). She required subtotal bursectomy. Intraoperative joint cultures grew\n                    <jats:italic>Streptococcus gordonii<\/jats:italic>\n                    . She completed 6\u2009weeks of antibiotics and is undergoing physical therapy for post-infectious adhesive capsulitis. SA is most commonly due to\n                    <jats:italic>Staphylococcus aureus<\/jats:italic>\n                    and \u03b2-haemolytic streptococci, and rarely due to viridans group streptococci including\n                    <jats:italic>S.\u202fgordonii<\/jats:italic>\n                    . To avoid inadvertent injection into the glenohumeral joint, vaccination should be performed posteriorly and inferiorly into the deltoid musculature. Progressive pain, fever or decreased passive ROM following vaccination should raise concern for SA. Given its rarity, however, concern for secondary SA should not affect the general population\u2019s consideration for vaccination.\n                  <\/jats:p>","DOI":"10.1136\/bcr-2021-243066","type":"journal-article","created":{"date-parts":[[2021,5,25]],"date-time":"2021-05-25T12:33:52Z","timestamp":1621946032000},"page":"e243066","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["<i>Streptococcus gordonii<\/i>\n                    septic arthritis of the glenohumeral joint following deltoid intramuscular vaccination"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2799-0270","authenticated-orcid":false,"given":"Robert Costigan","family":"Flowers","sequence":"first","affiliation":[{"name":"Internal Medicine, Jackson Memorial Hospital, Miami, Florida, USA"},{"name":"Internal Medicine, University of Miami Health System, Miami, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatriz","family":"Rivera Rodriguez","sequence":"additional","affiliation":[{"name":"Internal Medicine, Jackson Memorial Hospital, Miami, Florida, USA"},{"name":"Internal Medicine, University of Miami Health System, Miami, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Corbitt","sequence":"additional","affiliation":[{"name":"Internal Medicine, University of Miami Health System, Miami, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,5,25]]},"reference":[{"key":"2025082708212834000_14.5.e243066.1","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1016\/j.idc.2017.07.013","article-title":"Septic arthritis and prosthetic joint infections in older adults","volume":"31","author":"Nair","year":"2017","journal-title":"Infect Dis Clin North 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