Friedman R S, Perez H D, Goldstein I M
Am J Med Sci. 1981 Sep-Oct;282(2):91-3. doi: 10.1097/00000441-198109000-00007.
Infectious arthritis of the sternoclavicular (SC) joint is a known complication of intravenous drug abuse. Most reported cases have been caused by gram-negative microorganisms. Patients with this form of septic arthritis usually have protracted illnesses and require both medical and surgical, therapy. During 18 months we saw four cases of SC septic arthritis cause by gram-positive microorganisms. Three cases were related to heroin use and Staphylococcus aureus was the causative organisms. Streptococcus pneumoniae was isolated in the remaining patient. All patients had the abrupt onset of SC joint swelling and tenderness as the initial complaint and all responded favorably to appropriate intravenous drug therapy.
胸锁关节感染性关节炎是静脉药物滥用已知的一种并发症。大多数报道的病例由革兰氏阴性微生物引起。患有这种类型化脓性关节炎的患者通常病程迁延，需要药物和手术治疗。在18个月期间，我们见到了4例由革兰氏阳性微生物引起的胸锁关节化脓性关节炎病例。3例与海洛因使用有关，致病菌为金黄色葡萄球菌。其余1例患者分离出肺炎链球菌。所有患者最初的主诉均为胸锁关节突然肿胀和压痛，且所有患者对适当的静脉药物治疗反应良好。
