A Case of Escherichia Coli Sternoclavicular Septic Arthritis

Hee Tae Yu; You Jung Ha; Sang Youn Jung; Kwang Hoon Lee; Hyun Min Kim; Soo Kon Lee; Yong Beom Park

doi:10.4078/jkra.2010.17.2.168

Journal List > J Korean Rheum Assoc > v.17(2) > 1003718

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Yu, Ha, Jung, Lee, Kim, Lee, and Park: A Case of Escherichia Coli Sternoclavicular Septic Arthritis

Original Article

J Korean Rheum Assoc 2010;17(2):168-172.

Published online: 23 June 2010

DOI: https://doi.org/10.4078/jkra.2010.17.2.168

A Case of Escherichia Coli Sternoclavicular Septic Arthritis

Hee Tae Yu, You Jung Ha, Sang Youn Jung, Kwang Hoon Lee, Hyun Min Kim, Soo Kon Lee, Yong Beom Park

Division of Rheumatology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea

Received 7 October 200912 November 2009 Accepted 16 November 2009

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Septic arthritis of the sternoclavicular joint is a rare condition. The predisposing risk factors include intravenous drug abuse, subclavian vein catheter placement, diabetes mellitus and trauma. Delayed or inadequate management can lead to irreversible joint damage with subsequent disability, even death. We report a 48-year-old female patient who presented with right sternoclavicular joint swelling and right shoulder pain. Magnetic resonance imaging of the sternum showed swelling of the right sternoclavicular joint with gadolinium enhancement. Synovial fluid and bone tissue culture revealed Escherichia coli (E.coli), and confirmed the diagnosis of sternoclavicular septic arthritis. She was successfully treated with surgical debridement and ciprofloxacin without recurrence. This is the first case report of E.coli sternoclavicular septic arthritis in Korea.

Keywords: Septic arthritis, Sternoclavicular joint, Escherichia coli

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