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Pus in shoulder
Operation done in 2023 for left shoulder pus, again got pus in oct 2025 did pet scan and CT guided biopsy but no thing found so did surgery,it took 3 months to drain out all pus . Now again pus observed in the same left shoulder. What will be the solution and which doc will be best for treatment orthopedic, rheumatologist or someone else
Currently on dialysis from last 10years , dialysis 3times a week
Mri attached
Answers (7)
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Hi sir
Was Tissue biopsy and culture to rule TB (bone) done?
Previous / Family history of TB
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Please mention details of surgery
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It looks like chronic infection in joint... Osteomyelitis
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CONSULT WITH ORTHOPAEDIC SURGEON
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Orthopedic
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Dear Patient,
Your reports suggest a recurrent shoulder infection with fluid (pus) collection, along with a rotator cuff tear. Since this has happened multiple times, it requires urgent evaluation.
I would strongly advise:
• Clinical examination by an orthopaedic (shoulder) specialist
• Aspiration/drainage with culture test
• Blood tests (CRP, ESR)
Avoid self-medication or antibiotics without proper testing, as recurrence can worsen joint damage.
Early treatment will give the best outcome.
Next Steps
Consult to Orthopaedics Surgeon shoulder specialist with infectious disease specialist , may require Drainage with placement of antibiotics beads inside , and Tuberculosis rule out investigations
Health Tips
Septic Shoulder with irreparable Rotator cuff
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Wishing you speedy recovery
But it is not possible to give you any opinion based on your message,
An in person examination as well as detailed history taking needs to be done.
Meanwhile,
You can continue the medications as advised
Once again visit the primary surgeon,
MRI report indicates to send the collected fluid for further detail examination to rule out other causes.
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Severe fever, increase in swelling, redness , excruciating pain - visit doctor immediately
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Dr. Rahul Kumar Pandey
Orthopedic surgeon
10 yrs exp
Lucknow
Please get in person consult with orthopedic surgeon
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.