Henriksen Jeppe, Tang Mariann, Hjortdal Vibeke
Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus N, Denmark.
Case Rep Surg. 2015;2015:292854. doi: 10.1155/2015/292854. Epub 2015 Dec 30.
Abscess formation after septic arthritis in the sternoclavicular joint is a rare phenomenon in healthy people without immune suppression, intravenous drug abuse, or diabetes. Here we report two cases with formation of abscess in two middle-aged men, with no relevant comorbidities and no obvious sites of infection. The abscesses were both treated surgically with debridement followed by negative pressure wound therapy and antibiotics. The cases differ in diagnostic procedures and delay of diagnosis and broach the issues of handling a rare disease.
在无免疫抑制、静脉药物滥用或糖尿病的健康人群中,胸锁关节化脓性关节炎后形成脓肿是一种罕见现象。本文报告两例中年男性发生脓肿的病例,他们无相关合并症且无明显感染部位。两例脓肿均接受了手术清创治疗,随后进行负压伤口治疗并使用抗生素。这两个病例在诊断程序和诊断延迟方面存在差异,并引出了罕见病的处理问题。