Sternoclavicular Joint Infection Presenting as Nonspecific Chest Pain
| Autor: | Clinton Smithson, Scott A. McAninch, Amrita Nanda, Andrew L. Juergens, Jason N. Collins |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Chest Pain Staphylococcus aureus Fever Sternoclavicular joint Chest pain 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Risk Factors Acute care Medicine Humans 030212 general & internal medicine Arthritis Infectious medicine.diagnostic_test business.industry Osteomyelitis Magnetic resonance imaging Staphylococcal Infections medicine.disease Magnetic Resonance Imaging Sternoclavicular Joint Surgery Anti-Bacterial Agents Pneumonia medicine.anatomical_structure Emergency Medicine Septic arthritis medicine.symptom Differential diagnosis business Tomography X-Ray Computed |
| Zdroj: | The Journal of emergency medicine. 54(2) |
| ISSN: | 0736-4679 |
| Popis: | Background Sternoclavicular joint infection (SJI), to include septic arthritis (SA), is a rare cause of chest pain and is often found in patients with significant risk factors and sources for SA. Most acute care laboratory results lack significant sensitivity to rule out SA. Radiographic findings in common acute care imaging often does not reveal findings of SA and osteomyelitis in the acute phase of the infection. Case Report We present a patient without significant risk factors for SA, who initially presented with 3 days of pain to the left chest, left neck and shoulder. He had fever and was treated with a short course of antibiotics for possible pneumonia. His symptoms recurred along with fever 36 days after the initial onset of symptoms and was then diagnosed radiographically with left-sided SJI. Why Should an Emergency Physician Be Aware of This? This case reinforces the need to maintain a broad differential diagnosis in the evaluation for chest pain and pursue advanced imaging, such as magnetic resonance imaging, when the pretest probability of SJI is high, especially in the acute phase of the infection. |
| Databáze: | OpenAIRE |
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