Septic subacromial bursitis caused by Streptococcus pneumoniae: A case report

Introduction: Isolated infection of the subacromial bursa is a rare entity. Primary subacromial septic bursitis is uncommon compared to other superficial bursa because of its deep anatomic location. The potential for an underlying spread of infection to unusual sites has been reported in the setting of diabetes mellitus and can very easily be overlooked. Case Report: We describe the clinical presentation, radiological investigations and strategies for the management of a 59-year-old diabetic male presented with subacromial bursitis as a result of Streptococcus pneumoniae infection. It resolved without sequelae using oral and parenteral antibiotics, incision and drainage, and surgical debridement. The range of motion improved gradually until full recovery. Conclusion: Subacromial septic bursitis is rarely reported in medical literature. Its fast identification and treatment is needed to allow full recovery of range of motion.