Sternoclavicular joint septic arthritis and osteomyelitis caused by Aggregatibacter aphrophilus
| Autor: | J K Loh, B Crowley, K O'Connell, D O'Shea, C J Bergin |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Image-Guided Biopsy
medicine.medical_specialty Sternoclavicular joint Arthritis Ciprofloxacin medicine Humans Endocarditis Ultrasonography Arthritis Infectious Aggregatibacter aphrophilus business.industry Osteomyelitis Ceftriaxone Soft tissue General Medicine Middle Aged medicine.disease Sternoclavicular Joint Anti-Bacterial Agents Surgery Treatment Outcome medicine.anatomical_structure Female Septic arthritis Flucloxacillin Gentamicins Pasteurellaceae Infections Transthoracic echocardiogram business medicine.drug |
| Zdroj: | QJM. 107:751-754 |
| ISSN: | 1460-2393 1460-2725 |
| DOI: | 10.1093/qjmed/hcr272 |
| Popis: | A 62-year-old lady was referred to the Infectious Diseases outpatients clinics with a 3-week history of right shoulder pain and a 1-week history of progressive swelling and erythema of the soft tissue overlying the right sternoclavicular joint (SCJ). No systemic symptoms were reported. No triggering event could be recalled and there was no recent travel, no animal exposure and no known contact with tuberculosis. On examination, temperature was normal and the patient appeared systemically well. There was an indurated, tender, erythematous, warm swelling over her right SCJ with associated decreased range of movement of the right shoulder. Cardiac examination revealed a soft systolic murmur. No other peripheral stigmata of endocarditis were identified. The patient was admitted for investigation and work up of a suspected SCJ septic arthritis arising either as a consequence of an undocumented bacteraemia or due to a contiguous extension from overlying skin and soft tissue infection. Initial laboratory investigations revealed a normal white cell count and differential. Inflammatory markers were elevated with an ESR of 94 mm/h ( |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|