2022, Number 1
Artritis séptica de la articulación esternoclavicular en HGR 110 IMSS
González-Altamirano DA, De la Cruz-Villalpando BE, Muñoz-Hernández O, Fernández-Figueroa YM, Cortés-Rodríguez CO
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Language: Spanish
References: 10
Page: 45-50
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ABSTRACT
Septic arthritis is an inflammatory reaction of the joint space secondary to colonization of the joint cavity by a germ with a tendency to suppuration and joint destruction. The sternoclavicular joint is a rare site for septic arthritis in patients without risk factors (injecting drug addicts, immunosuppressed patients, diabetics). It usually presents itself with general symptoms, such as fever, muscle spasms, and general malaise; Hyperthermic joint, erythema, moderate to severe pain, swelling, and decreased range of motion. In all risk groups and ages, the most frequent microorganisms identified are S. aureus. In the involvement of the sternoclavicular joint, mortality is greater than 50%, mainly based on the fact that conservative medical treatment or minimal surgery has a failure rate of up to 85%. The case of a 50-year-old man is presented, who lives with diabetes mellitus of medium evolution in poor outpatient control who began his condition with a hospitalization for headache, which was addressed for 15 days without finding an etiology and improvement partial symptoms, on his second admission, an infectious process at the soft tissue level is identified, after imaging studies a septic arthritis of the sternoclavicular joint is identified, which required broad-spectrum antibiotic management and aggressive surgical management with taking cultures that isolated S. aureus, after a torpid evolution due to complications associated with health services, the patient was discharged home.REFERENCES