[Anaerobic sternocostoclavicular septic arthritis: a case report].
Septic arthirtis of the sternocostoclavicular joint is exceptional and usually occurs in immunodeficient subjects. The clinical presentation may be misleading, a rheumatoid disease often being suggested. We report a case of secondary joint infection caused by anaerobic bacteria and discuss the diagnostic problems involved as well as the disease course and the therapeutic options proposed in the literature. The diagnosis calls upon computed tomography and magnetic resonance imaging, leading to joint needle aspiration. Appropriate imaging enables an assessment of the anatomic damage and is useful for guiding surgical treatment under adapted antibiotic coverage.
Bonnevialle
N
N
Service d'Orthopédie et Traumatologie, CHU Purpan, place du Docteur-Baylac, 31059 Toulouse Cedex. nicolasbonnevialle@yahoo.fr
Gaston
A
A
Loustau
O
O
Bonnevialle
P
P
Mansat
P
P
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000175:diagnosis*; D001172:Arthritis, Rheumatoid / Q000175:diagnosis; D001421:Bacteria, Anaerobic / Q000145:classification*; D001424:Bacterial Infections / Q000175:diagnosis*; D001707:Biopsy, Needle; D003937:Diagnosis, Differential; D004322:Drainage; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D013247:Sternoclavicular Joint / Q000382:microbiology*; D013248:Sternocostal Joints / Q000382:microbiology*; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents