<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-0628</journal-id>
<journal-title><![CDATA[Gazeta Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Gaz Med]]></abbrev-journal-title>
<issn>2184-0628</issn>
<publisher>
<publisher-name><![CDATA[Círculo Médico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-06282022000300259</article-id>
<article-id pub-id-type="doi">10.29315/gm.v1i1.594</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[&#8220;Pseudo-Geyser Sign&#8221; as the First Presentation of Septic Arthritis of the Shoulder]]></article-title>
<article-title xml:lang="pt"><![CDATA[&#8220;Pseudo-Geyser Sign&#8221; como Primeira Apresentação de Artrite Sética do Ombro]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Braga]]></surname>
<given-names><![CDATA[Madalena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sousa]]></surname>
<given-names><![CDATA[Joana P.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres]]></surname>
<given-names><![CDATA[João]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,ACeS Porto Oriental USF Arca D&#8217;Água ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,ACeS Porto Oriental USF Faria Guimarães ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Hospitalar Universitário de S. João  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Faculdade Medicina Universidade Porto  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>09</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>09</month>
<year>2022</year>
</pub-date>
<volume>9</volume>
<numero>3</numero>
<fpage>259</fpage>
<lpage>262</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-06282022000300259&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-06282022000300259&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-06282022000300259&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Massive rotator cuff tears can lead to large cysts, extending from the subacromial space through the acromioclavicular joint into a subcutaneous cyst, with a typical &#8220;geyser sign&#8221; on magnetic resonance imaging (MRI). To our knowledge, no cases of transdeltoid pseudo-cyst as first manifestation of septic arthritis have ever been reported. A 79-year-old female presented to the Emergency Department (ED) with a two-day evolution of a painful tumefaction over her right shoulder. She had been admitted to the ED 16 days before, after being bitten by a dog. Tumefaction drainage revealed a total cell count of 50320 cells/mL. MRI revealed glenohumeral joint cavity&#8217;s fluid &#8220;decompression&#8221; through the deltoid. Septic arthritis was presumed as the cause of the pseudo-cyst, configuring a &#8220;pseudo-geyser sign&#8221; on MRI. Septic arthritis is an orthopedic emergency, whose early diagnosis, ED referral and treatment are crucial.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo Ruturas maciças da coifa dos rotadores podem levar à formação de grandes quistos, que se estendem do espaço subacromial, através da articulação acromioclavicular, formando um quisto subcutâneo, com um &#8220;geyser sign&#8221; típico na ressonância magnética (RM). Até onde sabemos, nenhum caso de pseudo-quisto transdeltoide como primeira manifestação de artrite séptica foi relatado. Uma mulher de 79 anos recorreu ao Serviço de Urgência (SU) com uma tumefação dolorosa no ombro direito com dois dias de evolução. Ela tinha recorrido ao SU 16 dias antes, após ter sido mordida por um cão. A drenagem de tumefação revelou uma contagem total de células de 50320 células/mL. A RM revelou &#8220;descompressão&#8221; do fluido da cavidade articular glenoumeral através do deltoide. A artrite sética foi presumida como a causa do pseudoquisto, configurando um &#8220;pseudo-geyser sign&#8221; na RM. A artrite sética é uma emergência ortopédica, cujo diagnóstico precoce, encaminhamento ao SU e tratamento são cruciais.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Arthritis, Infectious]]></kwd>
<kwd lng="en"><![CDATA[Rotator Cuff]]></kwd>
<kwd lng="en"><![CDATA[Shoulder Joint]]></kwd>
<kwd lng="pt"><![CDATA[Artrite Infeciosa]]></kwd>
<kwd lng="pt"><![CDATA[Articulação do Ombro]]></kwd>
<kwd lng="pt"><![CDATA[Coifa dos Rotadores]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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