Randrianarisoa Rova Malala Fandresena, Andrianiaina Armel Mamihaja, Radinasoa Rajo Païdia, Vololontiana Hanta Marie Danielle
Department of Internal Medicine Joseph Raseta Befelatanana Hospital Center Antananarivo Madagascar.
Clin Case Rep. 2024 Aug 7;12(8):e9313. doi: 10.1002/ccr3.9313. eCollection 2024 Aug.
Although rare, septic arthritis of the manubriosternal and chrondrosternal joints should be considered in the presence of a parasternal mass with fever and/or local signs of inflammation. MRI has an important role in the diagnosis. Blood cultures should be obtained routinely. We report an 80-year-old man with painful sternal swelling and fever. Chest MRI and PET scan were consistent with septic arthritis of the manubriosternal and chrondrosternal joints. Blood cultures were positive for Staphylococcus aureus. The evolution was favorable under antibiotic therapy for 6 weeks.
虽然罕见,但在出现伴有发热和/或局部炎症体征的胸骨旁肿块时,应考虑胸柄关节和肋软骨关节的化脓性关节炎。MRI在诊断中具有重要作用。应常规进行血培养。我们报告一例80岁男性,有胸骨疼痛性肿胀和发热。胸部MRI和PET扫描结果符合胸柄关节和肋软骨关节的化脓性关节炎。血培养金黄色葡萄球菌呈阳性。在抗生素治疗6周后病情好转。