El Ibrahimi Abdelhalim, Daoudi Abdelkarim, Boujraf Saïd, Elmrini Abdelmajid, Boutayeb Fawzi
Department of Orthopedic Surgery, University Hospital of Fez, Morocco.
Int J Infect Dis. 2009 May;13(3):e119-21. doi: 10.1016/j.ijid.2008.07.024. Epub 2008 Nov 5.
Sternoclavicular septic arthritis is an unusual event in healthy patients. Cases have been reported in diabetes mellitus patients, intravenous drug abusers and patients affected by rheumatoid arthritis. We report a case of this unique infection that occurred in a patient who was not at risk of septic arthritis. Through this case and a review of the literature, we discuss the difficulty of diagnosing this disorder, and the consequences of delayed treatment in terms of life-threatening outcomes and therapeutic options.
胸锁关节化脓性关节炎在健康患者中较为罕见。糖尿病患者、静脉药物滥用者及类风湿关节炎患者中曾有相关病例报道。我们报告一例发生在无化脓性关节炎风险患者身上的这种独特感染病例。通过该病例及文献回顾,我们讨论了诊断这种疾病的困难,以及延迟治疗在危及生命的后果和治疗选择方面的影响。