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胸锁关节感染:一例报告

Sternoclavicular joint infection: a case report.

作者信息

Moyer H R, Ghazi B, Feliciano D V

机构信息

Department of Surgery, Emory University, Atlanta, Georgia, United States.

出版信息

Thorac Cardiovasc Surg. 2009 Dec;57(8):500-1. doi: 10.1055/s-0029-1185391.

Abstract

Infection of the sternoclavicular joint (SJI) is a rare problem accounting for approximately 1 % of cases of septic arthritis. Patients typically present with symptoms of localized pain lasting a period of several weeks with or without systemic signs of fever and chills. Confirmation is made by aspirating the joint, and broad spectrum antibiotics should be tailored to treat the identified organisms. SJI can be treated conservatively with intravenous antibiotics and repeat imaging, but surgical intervention is required if patients present with an abscess, osteomyelitis or mediastinitis.

摘要

胸锁关节感染(SJI)是一个罕见问题,约占脓毒性关节炎病例的1%。患者通常表现为局部疼痛症状,持续数周,伴有或不伴有发热和寒战等全身症状。通过关节穿刺抽吸进行确诊,应根据鉴定出的病原体选用广谱抗生素进行治疗。SJI可以通过静脉注射抗生素和重复影像学检查进行保守治疗,但如果患者出现脓肿、骨髓炎或纵隔炎,则需要进行手术干预。

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