Bilateral sternoclavicular joint septic arthritis secondary to indwelling central venous catheter: a case report

<p>Abstract</p> <p>Introduction</p> <p>Septic arthritis of the sternoclavicular joint is rare, comprising approximately 0.5% to 1% of all joint infections. Predisposing causes include immunocompromising diseases such as diabetes, HIV infection, renal failure and intrave...

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Main Authors: Pradhan Charita, Watson Nicholas FS, Jagasia Nitin, Chari Ray, Patterson Jane E
Format: Article
Language:English
Published: BMC 2008-04-01
Series:Journal of Medical Case Reports
Online Access:http://www.jmedicalcasereports.com/content/2/1/131
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author Pradhan Charita
Watson Nicholas FS
Jagasia Nitin
Chari Ray
Patterson Jane E
author_facet Pradhan Charita
Watson Nicholas FS
Jagasia Nitin
Chari Ray
Patterson Jane E
author_sort Pradhan Charita
collection DOAJ
description <p>Abstract</p> <p>Introduction</p> <p>Septic arthritis of the sternoclavicular joint is rare, comprising approximately 0.5% to 1% of all joint infections. Predisposing causes include immunocompromising diseases such as diabetes, HIV infection, renal failure and intravenous drug abuse.</p> <p>Case presentation</p> <p>We report a rare case of bilateral sternoclavicular joint septic arthritis in an elderly patient secondary to an indwelling right subclavian vein catheter. The insidious nature of the presentation is highlighted. We also review the literature regarding the epidemiology, investigation and methods of treatment of the condition.</p> <p>Conclusion</p> <p>SCJ infections are rare, and require a high degree of clinical suspicion. Vague symptoms of neck and shoulder pain may cloud the initial diagnosis, as was the case in our patient. Surgical intervention is often required; however, our patient avoided major intervention and settled with parenteral antibiotics and washout of the joint.</p>
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spelling doaj.art-e8b42241336840a69ed8fc6b3b35334d2022-12-22T03:27:24ZengBMCJournal of Medical Case Reports1752-19472008-04-012113110.1186/1752-1947-2-131Bilateral sternoclavicular joint septic arthritis secondary to indwelling central venous catheter: a case reportPradhan CharitaWatson Nicholas FSJagasia NitinChari RayPatterson Jane E<p>Abstract</p> <p>Introduction</p> <p>Septic arthritis of the sternoclavicular joint is rare, comprising approximately 0.5% to 1% of all joint infections. Predisposing causes include immunocompromising diseases such as diabetes, HIV infection, renal failure and intravenous drug abuse.</p> <p>Case presentation</p> <p>We report a rare case of bilateral sternoclavicular joint septic arthritis in an elderly patient secondary to an indwelling right subclavian vein catheter. The insidious nature of the presentation is highlighted. We also review the literature regarding the epidemiology, investigation and methods of treatment of the condition.</p> <p>Conclusion</p> <p>SCJ infections are rare, and require a high degree of clinical suspicion. Vague symptoms of neck and shoulder pain may cloud the initial diagnosis, as was the case in our patient. Surgical intervention is often required; however, our patient avoided major intervention and settled with parenteral antibiotics and washout of the joint.</p>http://www.jmedicalcasereports.com/content/2/1/131
spellingShingle Pradhan Charita
Watson Nicholas FS
Jagasia Nitin
Chari Ray
Patterson Jane E
Bilateral sternoclavicular joint septic arthritis secondary to indwelling central venous catheter: a case report
Journal of Medical Case Reports
title Bilateral sternoclavicular joint septic arthritis secondary to indwelling central venous catheter: a case report
title_full Bilateral sternoclavicular joint septic arthritis secondary to indwelling central venous catheter: a case report
title_fullStr Bilateral sternoclavicular joint septic arthritis secondary to indwelling central venous catheter: a case report
title_full_unstemmed Bilateral sternoclavicular joint septic arthritis secondary to indwelling central venous catheter: a case report
title_short Bilateral sternoclavicular joint septic arthritis secondary to indwelling central venous catheter: a case report
title_sort bilateral sternoclavicular joint septic arthritis secondary to indwelling central venous catheter a case report
url http://www.jmedicalcasereports.com/content/2/1/131
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