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Sternoclavicular Osteomyelitis in an Immunosuppressed Patient: A Case Report and Review of the Literature

Patient: Male, 62 Final Diagnosis: Sternoclavicular osteomyelitis Symptoms: — Medication: — Clinical Procedure: Debridement Specialty: Infectious Diseases OBJECTIVE: Rare disease BACKGROUND: Sternoclavicular osteomyelitis is a rare disease, with less than 250 cases identified in the past 50 years. W...

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Autores principales: Khan, Kamran, Wozniak, Susan E., Mehrabi, Erfan, Giannone, Anna Lucia, Dave, Mitul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4699627/
https://www.ncbi.nlm.nih.gov/pubmed/26708708
http://dx.doi.org/10.12659/AJCR.895803
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author Khan, Kamran
Wozniak, Susan E.
Mehrabi, Erfan
Giannone, Anna Lucia
Dave, Mitul
author_facet Khan, Kamran
Wozniak, Susan E.
Mehrabi, Erfan
Giannone, Anna Lucia
Dave, Mitul
author_sort Khan, Kamran
collection PubMed
description Patient: Male, 62 Final Diagnosis: Sternoclavicular osteomyelitis Symptoms: — Medication: — Clinical Procedure: Debridement Specialty: Infectious Diseases OBJECTIVE: Rare disease BACKGROUND: Sternoclavicular osteomyelitis is a rare disease, with less than 250 cases identified in the past 50 years. We present a rare case of sternoclavicular osteomyelitis in an immunosuppressed patient that developed from a conservatively treated dislocation. CASE REPORT: A 62-year-old white man with a history of metastatic renal cell carcinoma presented to the emergency department (ED) with a dislocated left sternoclavicular joint. He was managed conservatively and subsequently discharged. However, over subsequent days he began to experience pain, fever, chills, and night sweats. He presented to the ED again and imaging revealed osteomyelitis. In the operating room, the wound was aggressively debrided and a wound vac (vacuum-assisted closure) was placed. He was diagnosed with sternoclavicular osteomyelitis and placed on a 6-week course of intravenous Nafcillin. CONCLUSIONS: Chemotherapy patients who sustain joint trauma normally associated with a low risk of infection should be monitored thoroughly, and the option to discontinue immunosuppressive therapy should be considered if signs of infection develop.
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spelling pubmed-46996272016-01-13 Sternoclavicular Osteomyelitis in an Immunosuppressed Patient: A Case Report and Review of the Literature Khan, Kamran Wozniak, Susan E. Mehrabi, Erfan Giannone, Anna Lucia Dave, Mitul Am J Case Rep Articles Patient: Male, 62 Final Diagnosis: Sternoclavicular osteomyelitis Symptoms: — Medication: — Clinical Procedure: Debridement Specialty: Infectious Diseases OBJECTIVE: Rare disease BACKGROUND: Sternoclavicular osteomyelitis is a rare disease, with less than 250 cases identified in the past 50 years. We present a rare case of sternoclavicular osteomyelitis in an immunosuppressed patient that developed from a conservatively treated dislocation. CASE REPORT: A 62-year-old white man with a history of metastatic renal cell carcinoma presented to the emergency department (ED) with a dislocated left sternoclavicular joint. He was managed conservatively and subsequently discharged. However, over subsequent days he began to experience pain, fever, chills, and night sweats. He presented to the ED again and imaging revealed osteomyelitis. In the operating room, the wound was aggressively debrided and a wound vac (vacuum-assisted closure) was placed. He was diagnosed with sternoclavicular osteomyelitis and placed on a 6-week course of intravenous Nafcillin. CONCLUSIONS: Chemotherapy patients who sustain joint trauma normally associated with a low risk of infection should be monitored thoroughly, and the option to discontinue immunosuppressive therapy should be considered if signs of infection develop. International Scientific Literature, Inc. 2015-12-28 /pmc/articles/PMC4699627/ /pubmed/26708708 http://dx.doi.org/10.12659/AJCR.895803 Text en © Am J Case Rep, 2015 This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License
spellingShingle Articles
Khan, Kamran
Wozniak, Susan E.
Mehrabi, Erfan
Giannone, Anna Lucia
Dave, Mitul
Sternoclavicular Osteomyelitis in an Immunosuppressed Patient: A Case Report and Review of the Literature
title Sternoclavicular Osteomyelitis in an Immunosuppressed Patient: A Case Report and Review of the Literature
title_full Sternoclavicular Osteomyelitis in an Immunosuppressed Patient: A Case Report and Review of the Literature
title_fullStr Sternoclavicular Osteomyelitis in an Immunosuppressed Patient: A Case Report and Review of the Literature
title_full_unstemmed Sternoclavicular Osteomyelitis in an Immunosuppressed Patient: A Case Report and Review of the Literature
title_short Sternoclavicular Osteomyelitis in an Immunosuppressed Patient: A Case Report and Review of the Literature
title_sort sternoclavicular osteomyelitis in an immunosuppressed patient: a case report and review of the literature
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4699627/
https://www.ncbi.nlm.nih.gov/pubmed/26708708
http://dx.doi.org/10.12659/AJCR.895803
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