Jang Yu Na, Sohn Hyung Sun, Cho Sung Yeon, Choi Su Mi
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Department of Nuclear Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Infect Chemother. 2017 Sep;49(3):223-226. doi: 10.3947/ic.2017.49.3.223. Epub 2017 May 23.
Primary sternal osteomyelitis (PSO) is a rare condition that may develop without any contiguous focus of infection. Due to the rarity of the disease, early diagnosis and appropriate treatment are often delayed. Herein, we describe a patient with PSO caused by Staphylococcus aureus that presented with chest pain and fever. The patient had no predisposing factors for sternal osteomyelitis. The chest pain was thought to be non-cardiogenic, as electrocardiography and cardiac enzyme did not reveal ischemic changes when he visited the emergency room. After blood culture revealed the presence of S. aureus, every effort was made to identify the primary focus of infection. Bone scan and magnetic resonance imaging revealed osteomyelitis with soft tissue inflammation around the sternum. After 8 weeks of antibiotics treatment, the patient recovered without any complications.
原发性胸骨骨髓炎（PSO）是一种罕见的疾病，可能在没有任何邻近感染病灶的情况下发生。由于该病罕见，早期诊断和适当治疗常常延迟。在此，我们描述一名由金黄色葡萄球菌引起的PSO患者，该患者表现为胸痛和发热。该患者没有胸骨骨髓炎的诱发因素。胸痛被认为是非心源性的，因为他就诊于急诊室时心电图和心肌酶检查未显示缺血性改变。血培养发现金黄色葡萄球菌后，尽一切努力确定感染的原发灶。骨扫描和磁共振成像显示胸骨周围有骨髓炎伴软组织炎症。经过8周的抗生素治疗，患者康复且无任何并发症。
