Acute bacterial sternoclavicular osteomyelitis in a long-term renal transplant recipient
| Autor: | Charalambos Pappas, Anila Duni, Sofia Xiromeriti, Kostas C. Siamopoulos, Evangelia Dounousi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty medicine.medical_treatment 030106 microbiology Case Report Disease 03 medical and health sciences 0302 clinical medicine Streptococcus mitis Medicine Risk factor Kidney transplantation 030222 orthopedics Transplantation medicine.diagnostic_test biology business.industry Osteomyelitis Magnetic resonance imaging Immunosuppression medicine.disease biology.organism_classification Surgery Daptomycin business medicine.drug |
| Popis: | Kidney transplantation is the treatment of choice for a significant number of patients with end-stage renal disease. Although immunosuppression therapy improves graft and patient’s survival, it is a major risk factor for infection following kidney transplantation altering clinical manifestations of the infectious diseases and complicating both the diagnosis and management of renal transplant recipients (RTRs). Existing literature is very limited regarding osteomyelitis in RTRs. Sternoclavicular osteomyelitis is rare and has been mainly reported after contiguous spread of infection or direct traumatic seeding of the bacteria. We present an interesting case of acute, bacterial sternoclavicular osteomyelitis in a long-term RTR. Blood cultures were positive for Streptococcus mitis, while the portal entry site was not identified. Magnetic resonance imaging of the sternoclavicluar region and a three-phase bone scan were positive for sternoclavicular osteomyelitis. Eventually, the patient was successfully treated with Daptomycin as monotherapy. In the presence of immunosuppression, the transplant physician should always remain alert for opportunistic pathogens or unusual location of osteomyelitis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|