title: [Primary osteomyelitis of sternum].
abstract: Primary osteomyelitis of the sternum is rare, especially in young adults. A 16-year-old boy was admitted to the orthopaedic department with chest pain and fever. The blood culture was positive for Staphylococcus aureus. MRI revealed a retrosternal abcess; a bone scan showed increased local uptake, suggestive of isolated osteomyelitis. Two weeks after the start of treatment with flucloxacillin 1 g 6 times a day i.v. the patient's condition had significantly improved: the pain had subsided and the fever had disappeared. In sternal osteomyelitis early treatment with antibiotics is successful and avoids complications and surgical intervention.
authors.affiliation: Westfries Gasthuis, afd. Orthopedie, Hoorn.
authors.forename: K
authors.initials: K
authors.lastname: Raissadat
authors.forename: Q F
authors.initials: QF
authors.lastname: Tetteroo
mesh_terms: D000038:Abscess / Q000188:drug therapy / Q000382:microbiology*; D000208:Acute Disease; D000293:Adolescent; D005436:Floxacillin / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000188:drug therapy / Q000382:microbiology*; D010406:Penicillins / Q000627:therapeutic use*; D011859:Radiography; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000382:microbiology*; D013249:Sternum / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000473:pathology; D016896:Treatment Outcome
chemical_list: D010406:Penicillins; D005436:Floxacillin