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Pseudomonas sternoclavicular pyarthrosis.

Dinkar Kaw1, Youngsook Yoon

  • 1Department of Internal Medicine, Medical College of Ohio, Toledo, OH 43614-5809, USA.

Southern Medical Journal
|August 11, 2004
PubMed
Summary
This summary is machine-generated.

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Pseudomonas pyarthrosis, a sternoclavicular joint infection, can occur in immunocompetent individuals. This case highlights an older adult patient successfully treated with antibiotics and drainage.

Area of Science:

  • Infectious Diseases
  • Orthopedic Surgery
  • Radiology

Background:

  • Sternoclavicular joint pyarthrosis is typically associated with intravenous drug use and immunosuppression.
  • Pseudomonas aeruginosa is a common pathogen in healthcare-associated infections.

Observation:

  • A 66-year-old immunocompetent male presented with unilateral shoulder and chest pain.
  • Imaging revealed a sternoclavicular mass with osteolysis.
  • Biopsy confirmed chronic inflammation and Pseudomonas aeruginosa infection.

Findings:

  • The patient was diagnosed with Pseudomonas pyarthrosis of the sternoclavicular joint.
  • Treatment involved surgical drainage and a 6-week course of antibiotics.
  • Clinical improvement was observed following treatment.

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Implications:

  • This case expands the known demographic for sternoclavicular Pseudomonas pyarthrosis.
  • Highlights the importance of considering infection in older adults with sternoclavicular joint pathology.
  • Emphasizes prompt diagnosis and appropriate antimicrobial therapy for favorable outcomes.