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Early Detection of Inflammation and Joint Destruction Revealed by Ultrasound in a Patient with Sternoclavicular Septic Arthritis


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Title: Early Detection of Inflammation and Joint Destruction Revealed by Ultrasound in a Patient with Sternoclavicular Septic Arthritis
Authors: Kawashiri, Shin-ya / Edo, Yushiro / Kawakami, Atsushi
Issue Date: 15-Mar-2019
Publisher: 日本内科学会 / The Japanese Society of Internal Medicine
Citation: Internal medicine, 58(6), pp.865-869; 2019
Abstract: A 53-year-old Japanese man experienced fever/neck pain, and neck magnetic resonance imaging revealed a spinal epidural abscess. The following day, he developed a palpable mass with evident inflammatory signs in the right sternoclavicular joint (SCJ) with severe pain. Ultrasound revealed synovitis with remarkable power Doppler signals in the right SCJ. Blood cultures yielded Streptococcus agalactiae growth. After 12 days, ultrasound showed right distal clavicle bone erosion. His symptoms improved with long-term parenteral antibiotic treatment, but the right SCJ joint destruction progressed for several months. We diagnosed him with sternoclavicular septic arthritis complicated with a spinal epidural abscess and bacteremia.
Keywords: computed tomography / joint destruction / magnetic resonance imaging / sternoclavicular septic arthritis / synovitis / ultrasound
URI: http://hdl.handle.net/10069/38961
ISSN: 09182918
DOI: 10.2169/internalmedicine.1782-18
Rights: © 2019 The Japanese Society of Internal Medicine. The Internal Medicine is an Open Access journal distributed under the Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Type: Journal Article
Text Version: publisher
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/38961

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