# Shoulder Prosthetic Infection and Humerus Osteomyelitis From Cutibacterium Following Eden-Hybinette Procedure

## TL;DR

A patient developed a severe shoulder infection after a surgical procedure, which was successfully treated with surgery and long-term antibiotics.

## Contribution

This case highlights the rare but serious complication of Cutibacterium acnes infection following an Eden-Hybinette procedure.

## Key findings

- Infection was caused by Cutibacterium acnes following an Eden-Hybinette procedure.
- Removal of synthetic screws and prolonged antibiotic treatment resolved the infection.
- Combination of intravenous, intramuscular, and oral antibiotics was necessary for full recovery.

## Abstract

We describe the case of a patient who recently underwent a guided arthroscopic Eden-Hybinette procedure for the revision of a previous failed procedure of Latarjet and resurgence of shoulder instability. The subsequent development of painful infectious arthritis of the left shoulder complicated by osteomyelitis of the humerus, caused by Cutibacterium acnes, and accompanied by high fever was resolved only after the removal of synthetic screws and bone grafting and thanks to prolonged intravenous antibiotic treatment. The antibiotic regime was continued, both intramuscularly and orally, after discharge, allowing the full healing of the severe osteoarticular infection of the shoulder.