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Sternoclavicular joint septic arthritis with chest wall abscess in a healthy adult: a case report

BACKGROUND: Septic arthritis of the sternoclavicular joint is rare. It can be associated with serious complications such as osteomyelitis, chest wall abscess, and mediastinitis. In this report, we describe a case of an otherwise healthy adult with septic arthritis of the sternoclavicular joint with...

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Autores principales: Tanaka, Yoshihito, Kato, Hisaaki, Shirai, Kunihiro, Nakajima, Yasuhiro, Yamada, Noriaki, Okada, Hideshi, Yoshida, Takahiro, Toyoda, Izumi, Ogura, Shinji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4808294/
https://www.ncbi.nlm.nih.gov/pubmed/27015841
http://dx.doi.org/10.1186/s13256-016-0856-0
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author Tanaka, Yoshihito
Kato, Hisaaki
Shirai, Kunihiro
Nakajima, Yasuhiro
Yamada, Noriaki
Okada, Hideshi
Yoshida, Takahiro
Toyoda, Izumi
Ogura, Shinji
author_facet Tanaka, Yoshihito
Kato, Hisaaki
Shirai, Kunihiro
Nakajima, Yasuhiro
Yamada, Noriaki
Okada, Hideshi
Yoshida, Takahiro
Toyoda, Izumi
Ogura, Shinji
author_sort Tanaka, Yoshihito
collection PubMed
description BACKGROUND: Septic arthritis of the sternoclavicular joint is rare. It can be associated with serious complications such as osteomyelitis, chest wall abscess, and mediastinitis. In this report, we describe a case of an otherwise healthy adult with septic arthritis of the sternoclavicular joint with chest wall abscess. CASE PRESENTATION: A 68-year-old Japanese man presented to our hospital complaining of pain and erythema near the right sternoclavicular joint. Despite 1 week of oral antibiotics, his symptoms did not improve. Computed tomography revealed an abscess with air around the right pectoralis major muscle. After being transferred to a tertiary hospital, emergency surgery was performed. Operative findings included necrotic tissue around the right sternoclavicular joint and sternoclavicular joint destruction, which was debrided and packed open. Methicillin-susceptible Staphylococcus aureus was identified in blood and wound cultures. Negative pressure wound therapy and hyperbaric oxygen therapy were performed for infection control and wound healing. The patient’s general condition improved, and good granulation tissue developed. The wound was closed using a V-Y flap on hospital day 48. The patient has been free of relapse for 3 years. CONCLUSIONS: Septic arthritis of the sternoclavicular joint is an unusual infection, especially in otherwise healthy adults. Because it is associated with serious complications such as chest wall abscess, prompt diagnosis and appropriate treatment are required.
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spelling pubmed-48082942016-03-27 Sternoclavicular joint septic arthritis with chest wall abscess in a healthy adult: a case report Tanaka, Yoshihito Kato, Hisaaki Shirai, Kunihiro Nakajima, Yasuhiro Yamada, Noriaki Okada, Hideshi Yoshida, Takahiro Toyoda, Izumi Ogura, Shinji J Med Case Rep Case Report BACKGROUND: Septic arthritis of the sternoclavicular joint is rare. It can be associated with serious complications such as osteomyelitis, chest wall abscess, and mediastinitis. In this report, we describe a case of an otherwise healthy adult with septic arthritis of the sternoclavicular joint with chest wall abscess. CASE PRESENTATION: A 68-year-old Japanese man presented to our hospital complaining of pain and erythema near the right sternoclavicular joint. Despite 1 week of oral antibiotics, his symptoms did not improve. Computed tomography revealed an abscess with air around the right pectoralis major muscle. After being transferred to a tertiary hospital, emergency surgery was performed. Operative findings included necrotic tissue around the right sternoclavicular joint and sternoclavicular joint destruction, which was debrided and packed open. Methicillin-susceptible Staphylococcus aureus was identified in blood and wound cultures. Negative pressure wound therapy and hyperbaric oxygen therapy were performed for infection control and wound healing. The patient’s general condition improved, and good granulation tissue developed. The wound was closed using a V-Y flap on hospital day 48. The patient has been free of relapse for 3 years. CONCLUSIONS: Septic arthritis of the sternoclavicular joint is an unusual infection, especially in otherwise healthy adults. Because it is associated with serious complications such as chest wall abscess, prompt diagnosis and appropriate treatment are required. BioMed Central 2016-03-26 /pmc/articles/PMC4808294/ /pubmed/27015841 http://dx.doi.org/10.1186/s13256-016-0856-0 Text en © Tanaka et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Tanaka, Yoshihito
Kato, Hisaaki
Shirai, Kunihiro
Nakajima, Yasuhiro
Yamada, Noriaki
Okada, Hideshi
Yoshida, Takahiro
Toyoda, Izumi
Ogura, Shinji
Sternoclavicular joint septic arthritis with chest wall abscess in a healthy adult: a case report
title Sternoclavicular joint septic arthritis with chest wall abscess in a healthy adult: a case report
title_full Sternoclavicular joint septic arthritis with chest wall abscess in a healthy adult: a case report
title_fullStr Sternoclavicular joint septic arthritis with chest wall abscess in a healthy adult: a case report
title_full_unstemmed Sternoclavicular joint septic arthritis with chest wall abscess in a healthy adult: a case report
title_short Sternoclavicular joint septic arthritis with chest wall abscess in a healthy adult: a case report
title_sort sternoclavicular joint septic arthritis with chest wall abscess in a healthy adult: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4808294/
https://www.ncbi.nlm.nih.gov/pubmed/27015841
http://dx.doi.org/10.1186/s13256-016-0856-0
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