Department of Family and Community Medicine, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, New Brunswick, NJ 08903, USA.
J Am Board Fam Med. 2012 Nov-Dec;25(6):908-12. doi: 10.3122/jabfm.2012.06.110196.
Septic arthritis is a medical emergency that requires immediate action to prevent significant morbidity and mortality. The sternoclavicular joint may have a more insidious onset than septic arthritis at other sites. A high index of suspicion and judicious use of laboratory and radiologic evaluation can help solidify this diagnosis. The sternoclavicular joint is likely to become infected in the immunocompromised patient or the patient who uses intravenous drugs, but sternoclavicular joint arthritis in the former is uncommon. This case series describes the course of 2 immunocompetent patients who were treated conservatively for septic arthritis of the sternoclavicular joint.
脓毒性关节炎是一种医学急症,需要立即采取行动,以防止出现重大发病率和死亡率。胸锁关节的发病可能比其他部位的脓毒性关节炎更隐匿。高度怀疑和明智地使用实验室和影像学评估有助于明确这一诊断。胸锁关节在免疫功能低下的患者或使用静脉药物的患者中更容易感染,但前者的胸锁关节关节炎并不常见。本病例系列描述了 2 例免疫功能正常的患者保守治疗胸锁关节脓毒性关节炎的过程。