Gonorrhoea infection presenting in pregnancy with septic arthritis of the sternoclavicular joint

O'Leary, A. J.; Tejura, H.; Latibeaudiere, M.; Edwards, Gillian

doi:10.1080/01443610600618614

Cited by 8 publications

(3 citation statements)

References 1 publication

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“…We report a case of monoarticular gonococcal septic arthritis at an uncommon location in an immunocompetent patient without pharyngeal or genitourinary symptoms. A PubMed search of case reports over the past 30 years with the query “Gonococcal arthritis” yielded 105 results, however only six case reports had sternoclavicular involvement [3] , [4] , [5] , [6] , [7] , [8] . These cases occurred in individuals with pregnancy, HIV, or complement deficiency ( Table 1 ).…”

Section: Discussionmentioning

confidence: 99%

Gonococcal septic arthritis of the sternoclavicular joint: A case report

Akhverdyan,

Andani,

Rivera

et al. 2023

IDCases

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Section: Discussionmentioning

confidence: 99%

Gonococcal septic arthritis of the sternoclavicular joint: A case report

Akhverdyan,

Andani,

Rivera

et al. 2023

IDCases

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“…Hip involvement is rare [5]. Septic discitis [6] and sternoclavicular arthritis are even rare [7, 8]. A destructive arthritis of sterno clavicular joint was described [4].…”

Section: Discussionmentioning

confidence: 99%

Gonococcal polyarthritis with sternoclavicular joint involvement in pregnant woman: a case report

Mezouar¹,

Tahiri²,

Lazrak³

et al. 2014

Pan Afr Med J

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Pregnancy is one of conditions that increase the risk of gonococcal arthritis which result from blood dissemination of neisseria gonorrhoeae. A 20-year-old africain female patient (in the second trimester of pregnancy), was admitted to hospital because of fever, asymmetric joint swollen affecting the hands, wrists, left ankle, and right sternoclavicular joint. Laboratory findings (erythrocyte sedimentation rate was 117 mm in first hour, The serum C-reactive protein level was 152 mg/L) the gram stain of genital sample was positif of neisseria gonorrhoeae and trichomonas vaginalis. With antibiotics, outcome of pregnancy was timely and uneventful. Patients should be educated about the mode of transmission of gonorrhea. Sexual partners should also be treated to prevent dissemination and gonococcal re-infection.

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“…Another source of SCJI is disseminated gonorrhea. There is increased risk for such infections in pregnancy due to an immunocompromised status (74). Propionibacterium and Corynebacterium are also other unusual organisms to cause SCJI (75,76).…”

Section: Y C O B a C T E R I U M K A N S A S I I I S A N O T H E R U N Cmentioning

confidence: 99%

Diagnosis and management of sternoclavicular joint infections: a literature review

2020

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The sternoclavicular joint (SCJ) is anatomically and clinically significant considering its proximity to important neuro-vascular structures like the subclavian vessels and the phrenic nerve. Infections of this joint masquerade multiple disorders, delay diagnosis and spread to the bone and deep tissues. There is no standardized workup and treatment protocol for sternoclavicular joint infections (SCJI) as defined in literature. Here, we review the existing literature to understand the current knowledge of the diagnosis and treatment of SCJI. We searched English publications in PubMed and included clinical trials, case reports, case series, retrospective cohort studies, literature and systematic reviews after excluding non-infectious etiology of SCJ pathologies. There are many risk factors for SCJI, such as immunocompromised status, intravenous drug use, trauma and arthropathies. But a large percentage of patients with disease have none of these risk factors. SCJIs can present with fever, joint swelling, immobility, and rarely with vocal cord palsy or dysphagia. While Staphylococcus aureus causes over 50% of SCJI cases, other pathogens such as Pseudomonas and Mycobacterium are frequently seen. When diagnosed early, the infection can be medically managed with antibiotics or joint aspirations. Most cases of SCJI, however, are diagnosed after extensive spread to soft tissue and bones requiring en-bloc resection with or without a muscle flap. Complications of undertreatment can range from simple abscess formation to mediastinitis, even sepsis. SCJIs are rare but serious infections prompting early detection and interventions. Most cases of SCJI treated adequately show complete resolution in months while retaining maximum functionality. Key features of proper healing include aggressive physiotherapy to prevent adhesive shoulder capsulitis and decreased range of motion.

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Gonorrhoea infection presenting in pregnancy with septic arthritis of the sternoclavicular joint

Cited by 8 publications

References 1 publication

Gonococcal septic arthritis of the sternoclavicular joint: A case report

Gonococcal septic arthritis of the sternoclavicular joint: A case report

Gonococcal polyarthritis with sternoclavicular joint involvement in pregnant woman: a case report

Diagnosis and management of sternoclavicular joint infections: a literature review

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