Logo American Journal of Case Reports

Call: 1.631.629.4328
Closed: National Holiday

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

28 December 2015 : Case report  USA

Sternoclavicular Osteomyelitis in an Immunosuppressed Patient: A Case Report and Review of the Literature

Challenging differential diagnosis, Unusual or unexpected effect of treatment, Rare disease

Kamran KhanABDEF, Susan E. WozniakABDE, Erfan MehrabiABEF, Anna Lucia GiannoneABEF, Mitul DaveABEF

DOI: 10.12659/AJCR.895803

Am J Case Rep 2015; 16:908-911

Abstract

BACKGROUND: Sternoclavicular osteomyelitis is a rare disease, with less than 250 cases identified in the past 50 years. We present a rare case of sternoclavicular osteomyelitis in an immunosuppressed patient that developed from a conservatively treated dislocation.

CASE REPORT: A 62-year-old white man with a history of metastatic renal cell carcinoma presented to the emergency department (ED) with a dislocated left sternoclavicular joint. He was managed conservatively and subsequently discharged. However, over subsequent days he began to experience pain, fever, chills, and night sweats. He presented to the ED again and imaging revealed osteomyelitis. In the operating room, the wound was aggressively debrided and a wound vac (vacuum-assisted closure) was placed. He was diagnosed with sternoclavicular osteomyelitis and placed on a 6-week course of intravenous Nafcillin.

CONCLUSIONS: Chemotherapy patients who sustain joint trauma normally associated with a low risk of infection should be monitored thoroughly, and the option to discontinue immunosuppressive therapy should be considered if signs of infection develop.

Keywords: Anti-Bacterial Agents - administration & dosage, Immunocompromised Host, Injections, Intravenous, Nafcillin - administration & dosage, Osteomyelitis - microbiology, Staphylococcal Infections - microbiology, Staphylococcus aureus - isolation & purification, Sternoclavicular Joint, Tomography, Spiral Computed - methods

Add Comment 0 Comments

In Press

Case report  China

Emergency Management of Cut Throat Injury: A Report of 2 Cases

Am J Case Rep In Press; DOI: 10.12659/AJCR.946414  

Case report  Grenada

Extragastrointestinal Stromal Tumor Mimicking Appendicitis: A Case Study

Am J Case Rep In Press; DOI: 10.12659/AJCR.944665  

Case report  China

Vision-Threatening Complications of Juxtapapillary Retinal Capillary Hemangioma: A Case of Retinal Artery O...

Am J Case Rep In Press; DOI: 10.12659/AJCR.946514  

Case report  USA

Treatment of Post-COVID-19 Pulmonary Aspergilloma: Insights from a Clinical Case

Am J Case Rep In Press; DOI: 10.12659/AJCR.946456  

Most Viewed Current Articles

21 Jun 2024 : Case report  China (mainland) 90,010

Intracranial Parasitic Fetus in a Living Infant: A Case Study with Surgical Intervention and Prognosis Anal...

DOI :10.12659/AJCR.944371

Am J Case Rep 2024; 25:e944371

0:00

07 Mar 2024 : Case report  USA 50,284

Neurocysticercosis Presenting as Migraine in the United States

DOI :10.12659/AJCR.943133

Am J Case Rep 2024; 25:e943133

0:00

20 Nov 2023 : Case report  Saudi Arabia 25,908

Azithromycin Treatment for Acne Vulgaris: A Case Report on the Risk of Clostridioides difficile Infection

DOI :10.12659/AJCR.941424

Am J Case Rep 2023; 24:e941424

0:00

18 Feb 2024 : Case report  Japan 22,715

A Case of Thoracic Empyema Caused by Actinomyces naeslundii

DOI :10.12659/AJCR.943030

Am J Case Rep 2024; 25:e943030

0:00

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923