scholarly journals Spontaneous Bilateral Sternoclavicular Joint Septic Arthritis and Lumbar Discitis: An Unusual Case in a Healthy Adult

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Georgios Mamarelis ◽  
Mohammad Zain Sohail ◽  
Athanasios Mamarelis ◽  
Hassan Fawi ◽  
Jehangir Mahaluxmivala
Keyword(s):  
Septic Arthritis ◽  
Healthy Adult ◽  
Joint Infection ◽  
Good Condition ◽  
Rare Condition ◽  
Sternoclavicular Joint ◽  
Intravenous Antibiotics ◽  
History Of ◽  
Image Investigation ◽  
Ct And Mri

Introduction. Septic arthritis of the sternoclavicular (SC) joint is a rare condition. Typically, it presents in patients with risk of infection and is usually unilateral. In this report, we describe a case of spontaneous bilateral sternoclavicular joint infection of an otherwise healthy adult. Case Presentation. A 67-year-old man presented in our hospital complaining of 2-week history of neck and chest pain which was radiating to his shoulders bilaterally. Clinical examination revealed erythema and swelling of the sternoclavicular area. Inflammatory markers were raised. Image investigation with CT and MRI was undertaken and verified the presence of bilateral sternoclavicular joint infection. The patient received prolonged course of intravenous antibiotics since his admission. The patient was discharged in a good condition and followed up in clinic. Conclusion. High index of clinical suspicion of SC joint infection is important for early diagnosis to avoid further complications.

scholarly journals Sternoclavicular joint septic arthritis in a healthy adult: a rare diagnosis with frequent complications

2021 ◽  
Vol 6 (9) ◽  
pp. 389-392
Author(s):  
Rui Barbeiro Gonçalves ◽  
André Grenho ◽  
Joana Correia ◽  
João Eurico Reis
Keyword(s):  
Risk Factors ◽  
Computed Tomography ◽  
Surgical Treatment ◽  
Septic Arthritis ◽  
Ct Scan ◽  
Healthy Adult ◽  
Sternoclavicular Joint ◽  
Surgical Team ◽  
History Of ◽  
Rare Diagnosis

Abstract. We report a case of complicated sternoclavicular joint septic arthritis in a previously healthy adult with no risk factors. An 83-year-old female presented to the emergency with a 1-week history of right shoulder pain followed by fever and prostration in the last 48 h. Computed tomography (CT) scan findings were consistent with right sternoclavicular joint (SCJ) septic arthritis complicated by periarticular abscess. Emergent surgical debridement was performed by a surgical team composed of orthopaedic and thoracic surgeons, followed by 6 weeks of antibiotic treatment. This case highlights the diagnosis and surgical treatment of a rare septic arthritis location but with frequent complications as well as the importance of multidisciplinary collaboration.

scholarly journals A case en pointe

2003 ◽  
Vol 4 (5) ◽  
pp. 167-168
Author(s):  
A Ng ◽  
Y Cemel ◽  
DQ Donaldson ◽  
V Bothra
Keyword(s):  
Septic Arthritis ◽  
Bone Scan ◽  
Incision And Drainage ◽  
Diagnosis And Management ◽  
First Metatarsal ◽  
Intravenous Antibiotics ◽  
History Of ◽  
Increased Activity

Septic arthritis of the first metatarsal-phalangeal joint (MTPJ) is rare. Such a case is reported in a 14-year-old female ballerina who presented with a one-week history of big toe pain and being systematically unwell. Radioisotope bone scan showed increased activity localised to the first MTPJ. The patient was treated with urgent incision and drainage and intravenous antibiotics. She was able to return to full training eight weeks later. This case highlights the difficulty in diagnosis and management.

scholarly journals Sternoclavicular joint septic arthritis with chest wall abscess in a healthy adult: a case report

2016 ◽  
Vol 10 (1) ◽  
Author(s):  
Yoshihito Tanaka ◽  
Hisaaki Kato ◽  
Kunihiro Shirai ◽  
Yasuhiro Nakajima ◽  
Noriaki Yamada ◽  
...  
Keyword(s):  
Case Report ◽  
Septic Arthritis ◽  
Chest Wall ◽  
Healthy Adult ◽  
Sternoclavicular Joint ◽  
Chest Wall Abscess

scholarly journals 323. First case of Prosthetic joint infection due to Nocardia veterana-elegans

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S234-S234
Author(s):  
Tasaduq Fazili ◽  
Ekta Bansal ◽  
Dorothy C Garner ◽  
Vijendra Bajwa
Keyword(s):  
Septic Arthritis ◽  
Prosthetic Joint Infection ◽  
English Literature ◽  
Joint Infection ◽  
Nocardia Species ◽  
First Case ◽  
Prosthetic Joint ◽  
Prosthetic Joint Infections ◽  
History Of ◽  
Removal Of Hardware

Abstract Background Nocardia are Gram-positive filamentous bacteria that cause Nocardiosis, a rare opportunistic infection. The most common site of infection is the lungs, with metastatic spread usually to the central nervous system. Prosthetic joint infection due to Nocardia is very rare. Methods We report the first case of prosthetic joint infection due to Nocardia veteran-elegans, and review the literature regarding Nocardia septic arthritis, with particular attention to prosthetic joint infection. Results The patient was a 35 year old male with history of Hodgkin’s Lymphoma for which he received chemotherapy previously, poorly controlled diabetes, motor vehicle accident in 2003 with right open tibial plateau fracture requiring hardware placement, who was admitted with a two week history of right knee pain and swelling. Knee aspiration revealed purulent fluid and synovial culture grew Nocardia species. He underwent right knee arthrotomy and debridement with removal of hardware. The Nocardia species was speciated as N. veterana-elegans, sensitive to trimethoprim/sulfamethoxazole, linezolid, clarithromycin, imipenem and amikacin. He was placed on oral linezolid for four weeks, which was then switched to oral trimethoprim/sulfamethoxazole, with a plan for a six month course of therapy. He has completed two months of therapy thus far and is doing well clinically. Nocardia is an uncommon cause of septic arthritis. We found only 37 cases reported in the English literature thus far. Amongst these, only six involved prosthetic joints, including our case, which is the first one to be caused by N. veterana-elegans.Three cases were caused by N. nova and one each by N. farcinica and asteroides. Septic arthritis due to Nocardia has a favorable outcome with a combination of surgical debridement and prolonged antimicrobial therapy of three to six months. For prosthetic joint infections, removal of hardware seems to carry a better prognosis. Trimethoprim/sulfamethoxazole is the preferred antimicrobial, including for bone and joint infection, although susceptibilities can vary amongst the different species. Conclusion Nocardia is an uncommon cause of septic arthritis. Prosthetic joint infection is very rare. Prognosis is fair with a combination of hardware removal and prolonged antibiotic therapy. Disclosures All Authors: No reported disclosures

scholarly journals Isolated Septic Arthritis of the Hip Due to Fusobacterium nucleatum in An Immunocompetent Adult: A Case Report and Review of the Literature

2021 ◽  
Vol 11 (4) ◽  
Author(s):  
Masanori Nishi ◽  
Yasushi Yoshikawa ◽  
Yasutaka Kaji ◽  
Satoshi Okamoto ◽  
Katsunori Inagaki
Keyword(s):  
Septic Arthritis ◽  
Rare Case ◽  
Joint Infection ◽  
Hip Osteoarthritis ◽  
Fusobacterium Nucleatum ◽  
Etiologic Agent ◽  
Perthes Disease ◽  
Two Stage ◽  
Immunocompetent Adult ◽  
History Of

Introduction: Hip septic arthritis is more common in children than in adults. Staphylococcus aureus and Streptococcus spp. are commonly found in association with septic joints. In contrast, Fusobacterium nucleatum septic arthritis in adults is extremely rare. To the best of our knowledge, only five cases have been reported in the literature in English, and three of them were cases of periprosthetic joint infection. We report a rare case of hip septic arthritis due to F. nucleatum in an immunocompetent adult. Case Presentation: A 56-year-old Asian man with a history of bilateral Perthes’ disease and mild alcoholic liver disease presented to our hospital complaining of worsening right hip pain and difficulty in walking for the previous 3 weeks. On presentation, his temperature was 38.7°C, and laboratory results showed a white blood cell count of 19 200 cells/µL and a C-reactive protein level of 43.56 mg/dL. Hip movements were limited due to pain. Contrast-enhanced computed tomography and magnetic resonance imaging showed fluid retention, suggesting infection. F. nucleatum was detected in the culture test from joint aspirate. Surgical drainage was performed 3 times in combination with antibiotherapy. Finally, we performed two-stage total hip arthroplasty, and the post-operative course was uneventful without implant loosening or infection relapse. Conclusion: The patient had a history of Perthes’ disease and had hip osteoarthritis, which may have contributed to the development of hip septic arthritis. We treated this rare case of hip septic arthritis due to F. nucleatum with two-stage revision surgery and antibiotherapy. Clinicians should be aware that F. nucleatum could be the etiologic agent of hip septic arthritis in an immunocompetent patient. Keywords: Septic Arthritis, Hip joint, Fusobacterium nucleatum, Adult

scholarly journals Reversible coma and Duret hemorrhage after intracranial hypotension from remote lumbar spine surgery: case report

2016 ◽  
Vol 24 (3) ◽  
pp. 389-393 ◽  
Author(s):  
Robert H. Bonow ◽  
James W. Bales ◽  
Ryan P. Morton ◽  
Michael R. Levitt ◽  
Fangyi Zhang
Keyword(s):  
Intracranial Hypotension ◽  
Good Condition ◽  
Rare Condition ◽  
Csf Leak ◽  
Lumbar Spine Surgery ◽  
Subdural Hematomas ◽  
Poor Neurological Outcome ◽  
Long Term Follow Up ◽  
History Of

Intracranial hypotension is a rare condition caused by spontaneous or iatrogenic CSF leaks that alter normal CSF dynamics. Symptoms range from mild headaches to transtentorial herniation, coma, and death. Duret hemorrhages have been reported to occur in some patients with this condition and are traditionally believed to be associated with a poor neurological outcome. A 73-year-old man with a remote history of spinal fusion presented with syncope and was found to have small subdural hematomas on head CT studies. He was managed nonoperatively and discharged with a Glasgow Coma Scale score of 15, only to return 3 days later with obtundation, fixed downward gaze, anisocoria, and absent cranial nerve reflexes. A CT scan showed Duret hemorrhages and subtle enlargement of the subdural hematomas, though the hematomas remained too small to account for his poor clinical condition. Magnetic resonance imaging of the spine revealed a large lumbar pseudomeningocele in the area of prior fusion. His condition dramatically improved when he was placed in the Trendelenburg position and underwent repair of the pseudomeningocele. He was kept flat for 7 days and was ultimately discharged in good condition. On long-term follow-up, his only identifiable deficit was diplopia due to an internuclear ophthalmoplegia. Intracranial hypotension is a rare condition that can cause profound morbidity, including tonsillar herniation and brainstem hemorrhage. With proper identification and treatment of the CSF leak, patients can make functional recoveries.

Sternoclavicular joint infection: a single center experience

2019 ◽  
Author(s):  
W Schreiner ◽  
W Dudek ◽  
I Mykoliuk ◽  
R Horch ◽  
H Sirbu
Keyword(s):  
Joint Infection ◽  
Sternoclavicular Joint ◽  
Single Center ◽  
Single Center Experience

CLINICAL CASE OF A MALIGNANT PECOMA OF THE LUNG

2019 ◽  
Vol 65 (5) ◽  
pp. 756-759
Author(s):  
Mikhail Postolov ◽  
Nadezhda Kovalenko ◽  
K. Babina ◽  
Stanislav Panin ◽  
Yelena Levchenko ◽  
...  
Keyword(s):  
Good Condition ◽  
Lung Neoplasm ◽  
Rare Condition ◽  
Epithelioid Cell ◽  
X Ray ◽  
Perivascular Epithelioid Cell ◽  
Mesenchymal Neoplasm ◽  
Preoperative Ct ◽  
Lymph Duct ◽  
The Right

Perivascular epithelioid cell tumor (PEComa) is a rare mesenchymal neoplasm characterized by expression of both mela-nocytic and smooth muscle markers. Only 10 primary malignant lung PEComas have been reported up to date. We report a 59-year-old male who presented with a lung neoplasm, found during the routine X-ray examination. Preoperative CT-scan revealed the 3,5-cm-sized mass, located at the border of the upper, middle and lower lobes of the right lung. Patient underwent a thoracotomy, resection of the upper, middle and lower lobes of the right lung accompanied with mediastinal lymphadenectomy. After surgery, chylothorax was revealed. Conservative treatment was unsuccessful, so we performed laparoscopic clipping of the thoracic lymph duct. Patient was dismissed from hospital on the 10-th day after the second operation in good condition. In this report, we intend to increase the limited knowledge relating to natural history and optimal treatment of such a rare condition as a primary malignant lung PEComa.

scholarly journals Rare Etiology of Odynophagia in a Female Adolescent

2021 ◽  
pp. 352-358
Author(s):  
Anastasios Koutsoumourakis ◽  
Asterios Gagalis ◽  
Maria Fotoulaki ◽  
Maria Stafylidou
Keyword(s):  
Antiviral Treatment ◽  
Healing Process ◽  
Rare Condition ◽  
Female Adolescent ◽  
Mucosal Barrier ◽  
Esophageal Mucosa ◽  
Intact Immune System ◽  
History Of ◽  
Orolabial Herpes

Herpes esophagitis (HE) is a rare condition in immunocompetent adolescents. However, it commonly occurs as a primary infection in younger individuals. Herein, we report a 16-year-old female patient who had a history of fever for 5 days, odynophagia, and orolabial herpes infection for 7 days. Clusters of painful vesicles on an erythematous base on the lips, gingiva, and palate were observed on physical examination. Further, esophagogastroduodenoscopy revealed diffuse linear ulcerations in the distal esophagus. The patient then received the following treatment: intravenous (I.V.) acyclovir 5 mg/kg three times a day, I.V. omeprazole 40 mg two times a day, and acyclovir 5% cream four times a day. After 8 days of admission, the patient was discharged. A follow-up esophagogastroduodenoscopy was performed 7 weeks after discharge, and the results revealed that the esophageal mucosa had a normal appearance. The effect of antiviral treatment against HE remains unknown in these patients. Nevertheless, it is believed to accelerate the healing process in individuals with esophageal mucosal barrier damage. To the best of our knowledge, this case of a female adolescent with an intact immune system is the sixth case of herpes simplex esophagitis to be reported in the literature.

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