Five years later he presented to us with increased pain, an SST of 1/12 and these x-rays.
At that time he had no clinical or laboratory evidence of infection.
At the time of our revision surgery, the glenoid was grossly loose with substantial osteolysis.
His final culture results are shown below (see this link for explanation of terms:Considering the Load of Propionibacterium in Revision Shoulder Arthroplasty).
Note the non-uniform distribution of bacteria in the shoulder as well as the delayed 'stealth' presentation of Propionibacterium years after the index procedure.
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