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Pneumococcal sternoclavicular septic arthritis: A rare manifestation of invasive pneumococcal disease

Yongdeok Shin1, Seth Conley1, Awol Ali1

  • 1Department of Medicine, Mary Washington Healthcare, Fredericksburg, VA, USA.

Idcases
|June 9, 2025
PubMed

Insights

Pneumococcal sternoclavicular septic arthritis is rare but serious. Vaccination and early intervention are crucial for unvaccinated individuals, especially those with alcohol use disorder.

Area of Science:

  • Infectious Diseases
  • Rheumatology
  • Microbiology

Background:

  • Septic arthritis of the sternoclavicular joint is a rare condition, accounting for less than 1% of all cases.
  • Streptococcus species are common pathogens, but Streptococcus pneumoniae is an infrequent cause of sternoclavicular joint infection.

Observation:

  • A case of pneumococcal sternoclavicular septic arthritis in a 58-year-old male with a history of alcohol use disorder is presented.
  • The patient had not received prior pneumococcal vaccination.

Findings:

  • This case underscores that Streptococcus pneumoniae can cause sternoclavicular septic arthritis.
  • Unvaccinated individuals, particularly those with comorbidities like alcohol use disorder, remain susceptible despite pneumococcal vaccine availability.

Implications:

  • Highlights the importance of pneumococcal vaccination in at-risk populations.
  • Emphasizes the need for prompt diagnosis and early intervention for sternoclavicular septic arthritis to prevent complications.
Keywords:
Alcohol use related pneumococcal septic arthritisPneumococcal septic arthritisPneumococcal vaccineSeptic arthritisSternoclavicular septic arthritis

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