Septic Arthritis of Neonates: A Rare Case Report

Neonatal septic arthritis is a rare condition which may present as an orthopedic emergency. The sequalae may be devastating in untreated cases. The presentation of neonatal septic arthritis could lead to multitude of differential diagnosis which consequentially delays the final diagnosis. It is very crucial to make an early diagnosis in such cases and commence prompt or timely appropriate management to prevent serious complications. Worldwide incidence in the neonatal age group is 0.3 per 1000 live births, although higher incidence of 0.6 per 1000 live birth has been reported in India, [1,2]. Older children are affected more than the younger age group and the hip joint is most commonly affected because of its unique anatomy and blood supply. The Pathogenic bacteria most commonly found to be responsible for septic arthritis are staphylococcus aureus, haemophilus influenza and streptococcus agalactiae (GBS). We are reporting a rare case of septic arthritis in the shoulder joint to a neonate caused by GBS bacteria, presenting as a late onset infection.