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胸锁关节化脓性关节炎:气管切开术后一种独特的晚期并发症。

Septic arthritis of the sternoclavicular joint: A unique late complication after tracheostomy.

作者信息

Sharif Kayvon F, Baik Fred M, Jategaonkar Ameya A, Khorsandi Azita S, Urken Mark L

机构信息

THANC (Thyroid, Head and Neck Cancer) Foundation, 10 Union Square East, Suite 5B, New York, NY 10003, USA.

THANC (Thyroid, Head and Neck Cancer) Foundation, 10 Union Square East, Suite 5B, New York, NY 10003, USA; Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, Mount Sinai Beth Israel Medical Center, 10 Union Square East, Suite 5B, New York, NY 10003, USA.

出版信息

Am J Otolaryngol. 2018 Sep-Oct;39(5):646-648. doi: 10.1016/j.amjoto.2018.05.005. Epub 2018 May 16.

DOI:10.1016/j.amjoto.2018.05.005
PMID:29776683
Abstract

BACKGROUND

Septic arthritis of the sternoclavicular joint is a rare infection associated with significant morbidity and mortality. Several risk factors for septic arthritis have been reported in the literature ranging from immunodeficiency to intravenous drug use.

CASE PRESENTATION

A 63-year-old male previously treated for synchronous squamous cell carcinomas of the epiglottis and floor of mouth presented with tenderness and swelling of the sternoclavicular joint two months after tracheostomy decannulation. Computed tomography and bone scans confirmed the diagnosis of septic arthritis of the sternoclavicular joint. The patient's clinical course, surgical treatment, and management considerations are discussed here.

CONCLUSION

Septic arthritis of the SCJ is a rare but serious infection. Once diagnosed, septic arthritis of the SCJ should be promptly treated to prevent further morbidity and mortality.

摘要

背景

胸锁关节化脓性关节炎是一种罕见的感染性疾病,具有较高的发病率和死亡率。文献报道了多种导致化脓性关节炎的危险因素,范围从免疫缺陷到静脉吸毒。

病例介绍

一名63岁男性,曾因会厌和声门鳞状细胞癌同时接受治疗,在气管切开插管拔除两个月后出现胸锁关节压痛和肿胀。计算机断层扫描和骨扫描确诊为胸锁关节化脓性关节炎。本文讨论了该患者的临床病程、手术治疗及管理方面的考虑。

结论

胸锁关节化脓性关节炎是一种罕见但严重的感染性疾病。一旦确诊,应及时治疗胸锁关节化脓性关节炎,以防止进一步的发病和死亡。

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Septic arthritis of the sternoclavicular joint: A unique late complication after tracheostomy.胸锁关节化脓性关节炎:气管切开术后一种独特的晚期并发症。
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Cureus. 2024 Apr 5;16(4):e57685. doi: 10.7759/cureus.57685. eCollection 2024 Apr.
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Medical Management of Septic Arthritis of the Sternoclavicular Joint With Extended-Spectrum Beta-Lactamase-Producing Escherichia coli: A Case Report.产超广谱β-内酰胺酶大肠埃希菌所致胸锁关节化脓性关节炎的药物治疗:1例报告
Cureus. 2022 Apr 9;14(4):e23969. doi: 10.7759/cureus.23969. eCollection 2022 Apr.
3
Diagnosis and management of sternoclavicular joint infections: a literature review.
胸锁关节感染的诊断与管理:文献综述
J Thorac Dis. 2020 Aug;12(8):4418-4426. doi: 10.21037/jtd-20-761.