Artritis infecciosa esternoclavicular: serie de 5 casos y revisión de la literatura

Astete, Carlos Guillén; García, Yolanda Aranda; Resino, Cristina de la Casa; Zafrilla, María Carpena; Cardeñosa, Adela Braña; Moll, Fernando Roldán; Carballo, César; Mendoza, A. Zea

doi:10.1016/j.reuma.2014.03.002

Cited by 16 publications

(5 citation statements)

References 9 publications

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“…The diagnosis of sternoclavicular septic arthritis can be delayed, due to insidiousness of symptoms, by days to weeks. Fever is noted in 65% of cases, and patients are likely to complain of chest or shoulder pain [ [1] , [2] , [5] ]. Imaging evaluation may start with chest radiography, although CT and MRI are vital for early diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Incidental diagnosis of sternoclavicular septic arthritis with Moraxella nonliquefaciens

Aldin

Sekar

Eddin

et al. 2018

IDCases

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HighlightsSternoclavicular septic arthritis is a rare type of septic arthritis.Symptoms can be insidious and vague and most commonly include fever and chest pain.Common organisms include Staphylococcus aureus and Neisseria gonorrhea, among others.Moraxella nonliquefaciens is a Gram-negative organism in the respiratory and urogenital tracts.Septic arthritis by this organism was never incidentally in the sternoclavicular joint.

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Section: Discussionmentioning

confidence: 99%

Incidental diagnosis of sternoclavicular septic arthritis with Moraxella nonliquefaciens

Aldin

Sekar

Eddin

et al. 2018

IDCases

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“…Septic arthritis and osteomyelitis of the manubrium is most commonly associated with IV drug use (21%), often a result of patients using non-sterile technique to access their internal jugular or subclavian veins to inject illicit substances using a supraclavicular approach (“pocket shot”). 1 , 2 Other risk factors include infections at a distant site (15%), diabetes (13%), trauma (12%), and infected central venous access (9%). 1 , 2 Local cellulitis progresses to an abscess and septic arthritis, leading to osteomyelitis and mediastinitis, as seen in this patient.…”

Section: Discussionmentioning

confidence: 99%

“… 1 , 2 Other risk factors include infections at a distant site (15%), diabetes (13%), trauma (12%), and infected central venous access (9%). 1 , 2 Local cellulitis progresses to an abscess and septic arthritis, leading to osteomyelitis and mediastinitis, as seen in this patient. Mediastinitis is rare in the current era of antibiotics, with complications from cardiac surgery, esophagogastroduodenoscopy, or suppurative infections of the head and neck being the most common causes.…”

Section: Discussionmentioning

confidence: 99%

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48-year-old Man with Fevers, Chest Pain, and a History of Substance Abuse

Richardson

Tewelde

Dezman

2018

Clinical Practice and Cases in Emergency Medicine

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A 48-year-old male with a history of intravenous (IV) drug use presented to the emergency department (ED) for an area of mild pain and erythema on his chest. He was then triaged to the urgent care, or fast track, area of the ED. He was well appearing with normal lab findings and vital signs, but his workup revealed mediastinitis with osteomyelitis of the manubrium and clavicles, a surgical emergency. His treatment course included IV antibiotics and operative intervention with thoracic surgery. The patient looked too good to be sick, yet he had a life-threatening infection.

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“…Jamil and Hussain presented a case of vocal cord paralysis due to SCJ septic arthritis, with a large collection from the joint 7. Guillen Astete et al 8 presented five cases of SCJ septic arthritis, two of which had mass effect symptoms thought to be related to capsular distension. Katsoulis et al 10 presented a case of SCJ septic arthritis masquerading as rupture of the cervical oesophagus, with neck pain, dysphagia and cellulitis extending from the sternoclidomastoid region to the anterior upper chest.…”

Section: Discussionmentioning

confidence: 99%

Sternoclavicular joint osteophytosis: a difficult diagnosis to swallow

Gill¹,

Morrissey

Rensburg

et al. 2017

BMJ Case Reports

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Unexplained dysphagia requires prompt investigation to rule out a possible underlying malignancy. We describe the case of a 60-year-old man who presented to his family practitioner with a 1-year history of increasing dysphagia with associated pain over the front of his chest. He was referred on to an ear, nose and throat specialist where no obvious laryngeal pathology was found at direct laryngoscopy, but an 'indentation' of the right anterior larynx, which increased with external pressure on the sternoclavicular joint (SCJ), was noted. A subsequent CT scan of his neck demonstrated osteoarthritis of the right SCJ with an abnormally large posterior osteophyte. The patient was subsequently referred on to an orthopaedic surgeon specialising in SCJ surgery and underwent an arthroscopic excision of his right SCJ. Soon after surgery, the patient's dysphagia had settled and his symptoms remain resolved 1 year post surgery.

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Artritis infecciosa esternoclavicular: serie de 5 casos y revisión de la literatura

Cited by 16 publications

References 9 publications

Incidental diagnosis of sternoclavicular septic arthritis with Moraxella nonliquefaciens

Incidental diagnosis of sternoclavicular septic arthritis with Moraxella nonliquefaciens

48-year-old Man with Fevers, Chest Pain, and a History of Substance Abuse

Sternoclavicular joint osteophytosis: a difficult diagnosis to swallow

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