Subscapular abscess is an uncommon condition which Aprons requires early recognition followed by prompt surgical intervention.We present a case of spontaneous subscapular abscess following blunt trauma to the shoulder in a patient with a history of recurrent superficial soft tissue infections, in which Panton-Valentine leukocidin-producing S.aureus was identified as the infectious agent.
This strain due to its virulence can lead to fatal infections in otherwise healthy individuals; therefore, a Pediatric Wheelchair high index of suspicion is needed to investigate with an MRI to rule out abscess formation in a patient with acute shoulder girdle pain and negative joint aspirate.Urgent surgical intervention and targeted antimicrobial therapy against PVL-positive S.aureus in accordance with microbiologist yield good outcomes.