An Unusual Case of Sternoclavicular Joint Infection and Lung Abscess

C. Silvestre, J. Eusébio, D. Duarte, H. Ferreira, J. Silva, C. Cardoso, T. Falcão, A. Domingos
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Abstract

Septic arthritis of the sternoclavicular joint is a rare and serious infection. A delay in the diagnosis may lead to serious complications. The appropriate medical and surgical treatment is crucial to the outcome. This article aims to report our experience in the successful management of sternoclavicular joint infection complicated with a lung infection. The authors present an unusual case of sternoclavicular joint infection extending into lung parenchyma with lung abscess formation in a diabetic patient, with uncontrolled diabetes that was successfully treated. At revaluation, he was asymptomatic with no evidence of relapse. Although sternoclavicular joint infection is a rare condition we highlight the importance of clinician’s awareness for an early diagnosis and treatment with broad-spectrum antibiotics and surgery.
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一例罕见的胸锁关节感染和肺脓肿
胸锁关节败血症是一种罕见且严重的感染。诊断的延误可能会导致严重的并发症。适当的医疗和外科治疗对结果至关重要。本文旨在报告我们成功治疗胸锁关节感染并发肺部感染的经验。作者报告了一例罕见的胸锁关节感染延伸到肺实质并形成肺脓肿的糖尿病患者,该患者的糖尿病未得到控制,并得到了成功治疗。在重新估价时,他没有症状,没有复发的迹象。尽管胸锁关节感染是一种罕见的情况,但我们强调临床医生对广谱抗生素和手术早期诊断和治疗的认识的重要性。
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