Primary Sternoclavicular Septic Arthritis in a Healthy Adult: A Case Report

Lee,  Woo Seung; Kim,  Yeub; Kim,  Taik Sun; Yoon,  Jung Ro; Lee,  Jun Ho

doi:2008.11.2.189

Clin Shoulder Elb > Volume 11(2); 2008 > Article

Case Report

Journal of the Korean Shoulder and Elbow Society 2008;11(2):189-192.
DOI: https://doi.org/10.5397/CiSE.2008.11.2.189 Published online December 31, 2008.

Primary Sternoclavicular Septic Arthritis in a Healthy Adult: A Case Report

Woo Seung Lee, Yeub Kim, Taik Sun Kim, Jung Ro Yoon, Jun Ho Lee

Department of Orthopedic Surgery, Seoul Veterans Hospital, Seoul, Korea. zenyjr@yahoo.co.kr

건강한 성인에서 발생한 일차성 흉쇄 관절 화농성 관절염 - 증례 보고 -

이우승·김엽·김택선·윤정로*·이준호

서울보훈병원 정형외과

Abstract

Sternoclavicular septic arthritis is a rare condition and it is usually related to predisposing conditions like intravenous drug abuse, diabetic mellitus, trauma and so on. A delayed diagnosis of this disease may cause severe complications like mediastinitis and chest wall abscess. Computed tomography or magnetic resonance imaging is needed to evaluate the complications. If the above complications are present, then joint resection should be considered. We report here on a case of a 52-year-old man who was diagnosed with primary sternoclavicular septic arthritis and he had no predisposing conditions. The pathogen on the aspiration-culture was S. aureus and it was susceptible to cefminox. The patient was cured with administering only antibiotic therapy for 6 weeks; intravenous cefminox therapy for 4 weeks followed by oral cefminox therapy for 2 weeks.

Key Words: Sternoclavicular joint; Septic arthritis; A healthy adult