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Nonsurgical management of Fusobacterium necrophorum sternoclavicular septic arthritis: a case report

BACKGROUND: To date, the gold-standard treatment for sternoclavicular septic arthritis has been surgery due to the high failure and complication rates of medical treatment. In particular, presentation of Fusobacterium sternoclavicular septic arthritis has been rarely reported and very sparsely inves...

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Autores principales: Kim, SangMin, Kanwar, Ruhi, Marshall, M. Blair
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8892743/
https://www.ncbi.nlm.nih.gov/pubmed/35236398
http://dx.doi.org/10.1186/s13256-022-03316-8
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author Kim, SangMin
Kanwar, Ruhi
Marshall, M. Blair
author_facet Kim, SangMin
Kanwar, Ruhi
Marshall, M. Blair
author_sort Kim, SangMin
collection PubMed
description BACKGROUND: To date, the gold-standard treatment for sternoclavicular septic arthritis has been surgery due to the high failure and complication rates of medical treatment. In particular, presentation of Fusobacterium sternoclavicular septic arthritis has been rarely reported and very sparsely investigated, and only one other case report of septic arthritis caused by this pathogen exists in literature. CASE PRESENTATION: We report a case of an otherwise healthy 38-year-old Caucasian woman who presented with sternoclavicular septic arthritis as a complication of Fusobacterium necrophorum mediastinitis. Our patient underwent successful management through nonstandard, conservative treatment of 7 weeks of intravenous piperacillin + tazobactam followed by 6 weeks of oral amoxicillin + clavulanic acid. CONCLUSION: We highlight a case of the rare presentation of Fusobacterium necrophorum sternoclavicular septic arthritis that did not require surgical intervention for successful management. Though infection of the sternoclavicular joint is unusual, it continues to be seen in thoracic surgery, and there are increasing numbers of antibiotic-resistant organisms. This case broadens insight into the clinical course and treatment of such conditions. The success of conservative management in this case aligns with the similar nonsurgical course of the one previous report of Fusobacterium sternoclavicular septic arthritis occurrence. Thus, further discussion and thought for reevaluating the current standard practice of surgery for sternoclavicular joint infection is suggested. Our case supports assessing a patient’s overall health, causative organism, and extent of infection in interventional course and taking the feasibility of conservative management into more weighted consideration.
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spelling pubmed-88927432022-03-10 Nonsurgical management of Fusobacterium necrophorum sternoclavicular septic arthritis: a case report Kim, SangMin Kanwar, Ruhi Marshall, M. Blair J Med Case Rep Case Report BACKGROUND: To date, the gold-standard treatment for sternoclavicular septic arthritis has been surgery due to the high failure and complication rates of medical treatment. In particular, presentation of Fusobacterium sternoclavicular septic arthritis has been rarely reported and very sparsely investigated, and only one other case report of septic arthritis caused by this pathogen exists in literature. CASE PRESENTATION: We report a case of an otherwise healthy 38-year-old Caucasian woman who presented with sternoclavicular septic arthritis as a complication of Fusobacterium necrophorum mediastinitis. Our patient underwent successful management through nonstandard, conservative treatment of 7 weeks of intravenous piperacillin + tazobactam followed by 6 weeks of oral amoxicillin + clavulanic acid. CONCLUSION: We highlight a case of the rare presentation of Fusobacterium necrophorum sternoclavicular septic arthritis that did not require surgical intervention for successful management. Though infection of the sternoclavicular joint is unusual, it continues to be seen in thoracic surgery, and there are increasing numbers of antibiotic-resistant organisms. This case broadens insight into the clinical course and treatment of such conditions. The success of conservative management in this case aligns with the similar nonsurgical course of the one previous report of Fusobacterium sternoclavicular septic arthritis occurrence. Thus, further discussion and thought for reevaluating the current standard practice of surgery for sternoclavicular joint infection is suggested. Our case supports assessing a patient’s overall health, causative organism, and extent of infection in interventional course and taking the feasibility of conservative management into more weighted consideration. BioMed Central 2022-03-03 /pmc/articles/PMC8892743/ /pubmed/35236398 http://dx.doi.org/10.1186/s13256-022-03316-8 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Kim, SangMin
Kanwar, Ruhi
Marshall, M. Blair
Nonsurgical management of Fusobacterium necrophorum sternoclavicular septic arthritis: a case report
title Nonsurgical management of Fusobacterium necrophorum sternoclavicular septic arthritis: a case report
title_full Nonsurgical management of Fusobacterium necrophorum sternoclavicular septic arthritis: a case report
title_fullStr Nonsurgical management of Fusobacterium necrophorum sternoclavicular septic arthritis: a case report
title_full_unstemmed Nonsurgical management of Fusobacterium necrophorum sternoclavicular septic arthritis: a case report
title_short Nonsurgical management of Fusobacterium necrophorum sternoclavicular septic arthritis: a case report
title_sort nonsurgical management of fusobacterium necrophorum sternoclavicular septic arthritis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8892743/
https://www.ncbi.nlm.nih.gov/pubmed/35236398
http://dx.doi.org/10.1186/s13256-022-03316-8
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