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胸锁关节化脓性关节炎:一例注射吸毒者罕见表现的病例报告。

Septic arthritis of sternoclavicular joint: a case report of a rare finding in injecting drug users.

机构信息

Department of Infectious Disease, Bu Ali Hospital, Qazvin University of Medical Sciences, Qazvin, Iran.

出版信息

Arch Iran Med. 2010 May;13(3):248-50.

Abstract

The sternoclavicular joint is an unusual site for bacterial infection. In this case, we describe a 25-year-old man who presented to the emergency department with fever, chills, limited range of motion in the right upper limb along with complaints of severe pain and tenderness in the right upper chest wall and shoulder. He was admitted to the hospital for further evaluation. This patient admitted to a history of injecting heroin use during the previous three months. The diagnosis of septic arthritis of the right sternoclavicular joint was confirmed by blood culture and MRI of the sternoclavicular joint. This case is, to the best of our knowledge, the 25th recorded staphylococcal septic sternoclavicular arthritis. He received appropriate intravenous antibiotic therapy and subsequently was discharged two weeks later with complete clinical and laboratory recovery.

摘要

胸锁关节是细菌感染的不常见部位。在本例中,我们描述了一名 25 岁男性,因发热、寒战、右上臂活动范围受限以及右上胸壁和肩部剧烈疼痛和压痛而到急诊科就诊。他被收入院进一步评估。该患者承认在过去三个月中有注射海洛因的病史。血培养和胸锁关节 MRI 证实了右侧胸锁关节化脓性关节炎的诊断。据我们所知,这是第 25 例记录的葡萄球菌化脓性胸锁关节炎。他接受了适当的静脉抗生素治疗,随后在两周后出院,临床和实验室检查完全恢复。

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