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Vol. 14. Issue 6.
Pages 645-646 (November - December 2010)
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Vol. 14. Issue 6.
Pages 645-646 (November - December 2010)
Letter to Editor
Open Access
Subacromial bursitis related to HIV infection: case report
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Benno Ejnisman1, Eduardo Antônio de Figueiredo2,
Corresponding author
eduardoafigueiredo@terra.com.br

Correspondence to:Av. 11 de junho, 415 - Vila Clementino - 04041-051, São Paulo, SP, Phone: (11) 5579-4809 / 8453-0737.
, Bernardo Barcellos Terra2, Ana Lucia L. Munhoz Lima3, David E. Uip4
1 Orthopedics, Unifesp – Chief of Shoulder and Elbow of the Centro de Traumatologia do Esporte, Instituto Cohen de Ortopedia e Reabilitação and Hospital Israelita Albert Einstein
2 Member of SBOT (Sociedade Brasileira de Ortopedia e Traumatologia) - Resident in Shoulder and Elbow Surgery at the Centro de Traumatologia do Esporte (CETE/UNIFESP), Instituto Cohen de Ortopedia e Reabilitação and Hospital Israelita Albert Einstein
3 Infectology, USP - Infection Service Chief at IOT-HCFMUSP, Instituto Cohen de Ortopedia e Reabilitação and Hospital Israelita Albert Einstein
4 Associate Professor at USP - Full Professor at Medical Clinic of ABC Medical College, Instituto Cohen de Ortopedia e Reabilitação and Hospital Israelita Albert Einstein
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Abstract
Objective

Describe a subacromial bursitis at the right shoulder of a 45-year-old male subject. The patient has been living with HIV/AIDS for 22 years.

Methods

The ultrasonography and the MRI revealed the presence of a pronounced subacromial effusion, with an inflammatory reaction of adjacent tissues. The tumoration was handled firstly with a needle-puncture aspiration, with a thick liquid outflow, followed by an open drainage. Histopathological evaluation showed no evidence of any AIDS defining disease. There was complete remission of the infection after five months thereafter the symptoms had started.

Conclusion

After reviewing the scarce literature in the area, no reports of subacromial bursitis in HIV/AIDS patients were found. The authors point out that, although rare, this disease should be considered as differential diagnosis of shoulder diseases in HIV-infected subjects.

Keywords:
shoulder
bursitis
HIV
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Copyright © 2010. Elsevier Editora Ltda.. All rights reserved
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