Chronic sternal osteomyelitis complicating primary manubriosternal septic arthritis
| Autor: | E. L. Oei, S. Sinha, Martin A. McNally, A. Sinha, K. Nagarajah, P. Critchley |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Sternum medicine.medical_specialty Hyperostosis Chest pain Rheumatology Synovitis Internal medicine medicine Humans Arthritis Infectious Manubrium business.industry Osteomyelitis Ceftriaxone General Medicine medicine.disease Pustulosis Anti-Bacterial Agents Surgery Radiography Debridement Chronic Disease Injections Intravenous Female Septic arthritis medicine.symptom Osteitis business |
| Zdroj: | Clinical Rheumatology. 25:934-936 |
| ISSN: | 1434-9949 0770-3198 |
| Popis: | We present a 40-year-old woman complaining of worsening chest pain. She was previously treated with a prolonged course of antibiotics for suspected sternal osteomyelitis. Radiological investigations were suggestive of ongoing inflammation within the manubriosternal joint. Formal surgical debridement yielded evidence corroborating the diagnosis although microbiological samples were negative. Prolonged empirical treatment with intravenous antibiotics leads to a complete resolution of symptoms. Primary culture-negative manubriosternal septic arthritis is rare, and suboptimal treatment, particularly if confused with other conditions such as synovitis, acne, pustulosis, hyperostosis and osteitis (SAPHO) syndrome, compounds its considerable morbidity. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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