自发性双侧胸锁关节化脓性关节炎和腰椎间盘炎：一名健康成年人的罕见病例
Spontaneous Bilateral Sternoclavicular Joint Septic Arthritis and Lumbar Discitis: An Unusual Case in a Healthy Adult.
作者信息
Mamarelis Georgios, Sohail Mohammad Zain, Mamarelis Athanasios, Fawi Hassan, Mahaluxmivala Jehangir
机构信息
Princess Alexandra Hospital, Hamstel Road, Harlow CM20 1QX, UK.
Queen's Medical Centre, Derby Rd, Nottingham NG7 2UH, UK.
出版信息
Case Rep Orthop. 2017;2017:7101694. doi: 10.1155/2017/7101694. Epub 2017 Oct 9.
INTRODUCTION
Septic arthritis of the sternoclavicular (SC) joint is a rare condition. Typically, it presents in patients with risk of infection and is usually unilateral. In this report, we describe a case of spontaneous bilateral sternoclavicular joint infection of an otherwise healthy adult.
CASE PRESENTATION
A 67-year-old man presented in our hospital complaining of 2-week history of neck and chest pain which was radiating to his shoulders bilaterally. Clinical examination revealed erythema and swelling of the sternoclavicular area. Inflammatory markers were raised. Image investigation with CT and MRI was undertaken and verified the presence of bilateral sternoclavicular joint infection. The patient received prolonged course of intravenous antibiotics since his admission. The patient was discharged in a good condition and followed up in clinic.
CONCLUSION
High index of clinical suspicion of SC joint infection is important for early diagnosis to avoid further complications.
引言
胸锁关节化脓性关节炎是一种罕见疾病。通常，它出现在有感染风险的患者中，且通常为单侧发病。在本报告中，我们描述了一例原本健康的成年人自发性双侧胸锁关节感染的病例。
病例介绍
一名67岁男性因颈部和胸部疼痛2周前来我院就诊，疼痛双侧放射至肩部。临床检查发现胸锁区域有红斑和肿胀。炎症指标升高。进行了CT和MRI影像学检查，证实存在双侧胸锁关节感染。患者自入院后接受了长时间的静脉抗生素治疗。患者出院时情况良好，并在门诊进行随访。
结论
对胸锁关节感染保持高度的临床怀疑指数对于早期诊断很重要，可避免进一步的并发症。
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