Acromioclavicular septic arthritis and sternoclavicular septic arthritis with contiguous pyomyositis.
Acromioclavicular (AC) and sternoclavicular (SC) septic arthritis with contiguous pyomyositis are rare, especially in immunocompetent individuals. We report a case of septic AC joint with pyomyositis of the deltoid and supraspinatus muscles and a separate case with septic SC joint with pyomysitis of the sternocleidomastoid muscle. Both patients had similar presentations of infections with Staphylococcus aureus and were successfully treated with surgical incision and drainage followed by prolonged antibiotic therapy.
Department of Orthopaedic Surgery, Dwight D. Eisenhower Army Medical Center, Augusta, GA, USA.
Sally A
SA
Corey
Department of Infectious Disease, Gundersen Health System, La Crosse, WI, USA.
William A
WA
Agger
Department of Orthopaedic Surgery, Gundersen Health System, La Crosse, WI, USA.
Andrew T
AT
Saterbak
D000173:Acromioclavicular Joint / Q000382:microbiology; D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001170:Arthritis, Infectious / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D052880:Pyomyositis / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy*; D013203:Staphylococcal Infections / Q000150:complications / Q000628:therapy*; D013211:Staphylococcus aureus; D013247:Sternoclavicular Joint / Q000382:microbiology
D000900:Anti-Bacterial Agents
Acromioclavicular joint; Infectious arthritis; Osteomyelitis; Pyomyositis; Sternoclavicular joint