Article

[Anaerobic sternocostoclavicular septic arthritis: a case report].

Service d'Orthopédie et Traumatologie, CHU Purpan, place du Docteur-Baylac, 31059 Toulouse Cedex.
Revue de Chirurgie Orthopédique et Réparatrice de l Appareil Moteur (impact factor: 0.37). 06/2007; 93(3):277-82.
Source: PubMed

ABSTRACT Septic arthirtis of the sternocostoclavicular joint is exceptional and usually occurs in immunodeficient subjects. The clinical presentation may be misleading, a rheumatoid disease often being suggested. We report a case of secondary joint infection caused by anaerobic bacteria and discuss the diagnostic problems involved as well as the disease course and the therapeutic options proposed in the literature. The diagnosis calls upon computed tomography and magnetic resonance imaging, leading to joint needle aspiration. Appropriate imaging enables an assessment of the anatomic damage and is useful for guiding surgical treatment under adapted antibiotic coverage.

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Keywords

antibiotic coverage
 
computed tomography
 
joint needle aspiration
 
magnetic resonance imaging
 
secondary joint infection
 
Septic arthirtis
 
useful