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Pradhan C, Watson NF, Jagasia N, et al. Bilateral sternoclavicular joint septic arthritis secondary to indwelling central venous catheter: a case report. J Med Case Rep. 2008;2:131doi: 10.1186/1752-1947-2-131.
Pradhan, C., Watson, N. F., Jagasia, N., Chari, R., & Patterson, J. E. (2008). Bilateral sternoclavicular joint septic arthritis secondary to indwelling central venous catheter: a case report. Journal of medical case reports, 2131. https://doi.org/10.1186/1752-1947-2-131
Pradhan, Charita, et al. "Bilateral sternoclavicular joint septic arthritis secondary to indwelling central venous catheter: a case report." Journal of medical case reports vol. 2 (2008): 131. doi: https://doi.org/10.1186/1752-1947-2-131
Pradhan C, Watson NF, Jagasia N, Chari R, Patterson JE. Bilateral sternoclavicular joint septic arthritis secondary to indwelling central venous catheter: a case report. J Med Case Rep. 2008 Apr 29;2:131. doi: 10.1186/1752-1947-2-131. PMID: 18445257; PMCID: PMC2390578.
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J Med Case Rep. 2008 Apr 29;2:131. doi: 10.1186/1752-1947-2-131.

Bilateral sternoclavicular joint septic arthritis secondary to indwelling central venous catheter: a case report.

Journal of medical case reports

Charita Pradhan, Nicholas F S Watson, Nitin Jagasia, Ray Chari, Jane E Patterson

Affiliations

  1. Department of General Surgery, Kings Mill Hospital, Mansfield, UK. [email protected]

PMID: 18445257 PMCID: PMC2390578 DOI: 10.1186/1752-1947-2-131

Abstract

INTRODUCTION: Septic arthritis of the sternoclavicular joint is rare, comprising approximately 0.5% to 1% of all joint infections. Predisposing causes include immunocompromising diseases such as diabetes, HIV infection, renal failure and intravenous drug abuse.

CASE PRESENTATION: We report a rare case of bilateral sternoclavicular joint septic arthritis in an elderly patient secondary to an indwelling right subclavian vein catheter. The insidious nature of the presentation is highlighted. We also review the literature regarding the epidemiology, investigation and methods of treatment of the condition.

CONCLUSION: SCJ infections are rare, and require a high degree of clinical suspicion. Vague symptoms of neck and shoulder pain may cloud the initial diagnosis, as was the case in our patient. Surgical intervention is often required; however, our patient avoided major intervention and settled with parenteral antibiotics and washout of the joint.

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