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Kocutar T, Snoj Ž, Salapura V. Complicated acute haematogenous osteomyelitis with fatal outcome following a closed clavicle fracture-a case report and literature review. BJR Case Rep. 2016;2(2):20150389doi: 10.1259/bjrcr.20150389.
Kocutar, T., Snoj, �. �., & Salapura, V. (2016). Complicated acute haematogenous osteomyelitis with fatal outcome following a closed clavicle fracture-a case report and literature review. BJR case reports, 2(2), 20150389. https://doi.org/10.1259/bjrcr.20150389
Kocutar, Tina, et al. "Complicated acute haematogenous osteomyelitis with fatal outcome following a closed clavicle fracture-a case report and literature review." BJR case reports vol. 2,2 (2016): 20150389. doi: https://doi.org/10.1259/bjrcr.20150389
Kocutar T, Snoj Ž, Salapura V. Complicated acute haematogenous osteomyelitis with fatal outcome following a closed clavicle fracture-a case report and literature review. BJR Case Rep. 2016 May 01;2(2):20150389. doi: 10.1259/bjrcr.20150389. eCollection 2016. PMID: 30363605; PMCID: PMC6180849.
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BJR Case Rep. 2016 May 01;2(2):20150389. doi: 10.1259/bjrcr.20150389. eCollection 2016.

Complicated acute haematogenous osteomyelitis with fatal outcome following a closed clavicle fracture-a case report and literature review.

BJR case reports

Tina Kocutar, Žiga Snoj, Vladka Salapura

Affiliations

  1. Clinical Institute of Radiology, University Medical Centre Ljubljana, Ljubljana, Slovenia.

PMID: 30363605 PMCID: PMC6180849 DOI: 10.1259/bjrcr.20150389

Abstract

Among adults, post-traumatic osteomyelitis following a closed fracture is a rarely described entity in the literature, with the involvement of the clavicle bone being particularly uncommon. Early diagnosis and treatment of clavicular osteomyelitis is crucial to prevent serious consequences such as sepsis, mediastinitis and haemorrhage from the great vessels. A 54-year-old male patient presented to the emergency department complaining of fatigue and limited mobility after having fallen and hit his head and right shoulder 10 days previously. No major injury was found during the diagnostic procedure, and the patient was discharged. 2 weeks later, the patient returned with clinical signs of right upper arm cellulitis and probable sepsis. Diagnostic ultrasound imaging and MRI of the right upper arm, as well as re-examination of the X-ray image, confirmed acute complex osteomyelitis of the right clavicle following an overlooked clavicle fracture. Microbiological analysis confirmed clavicular osteomyelitis caused by

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