The Clinical Results of Surgical Treatment for Sternoclavicualr Septic Arthritis / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 220-225, 2009.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-151352
Responsible library:
WPRO
ABSTRACT
BACKGROUND:
Sternoclavicular septic arthritis manifests serious complications such as abscess, osteomyelitis, mediastinitis and empyema; therefore, a prompt diagnosis and appropriate treatment are necessary. MATERIAL ANDMETHOD:
The treatment results of eight patients with sternoclavicular septic arthritis and who had been surgically treated at our institutions between September 2005 and July 2008 were retrospectively reviewed. The surgical treatment they underwent was en bloc resection, including partial resection of the sternum, the clavicular head and the 1st rib.RESULT:
The patients ranged in age from 40 to 74 years with an average of 55.1+/-10.3 years. Five were men and three were women. There were 6 patients with spontaneous sternoclavicular septic arthritis and 2 patients had their condition induced by central venous catheters. The pathogens isolated from the patients' blood and wounds were MRSA (3), Streptococcus intermedius (1), Streptococcus agalactiae (1) and Pseudomonas luteola (1). One patient expired from aggravation of preoperative sepsis on POD 31.CONCLUSION:
The life-threatening complications from sternoclavicular septic arthritis can progress and lead to death unless appropriate treatment is administered. A prompt diagnosis, appropriate antibiotics therapy and effective surgical treatment such as radical en bloc resection can reduce the morbidity and mortality of this malady.
Full text:
Available
Health context:
SDG3 - Target 3.3 End transmission of communicable diseases
/
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Sepsis
/
Musculoskeletal Diseases and Rheumatic Disorders
/
Other Respiratory Diseases
Database:
WPRIM (Western Pacific)
Main subject:
Osteomyelitis
/
Pseudomonas
/
Ribs
/
Sternoclavicular Joint
/
Sternum
/
Streptococcus agalactiae
/
Arthritis, Infectious
/
Retrospective Studies
/
Treatment Outcome
/
Sepsis
Type of study:
Observational study
Limits:
Female
/
Humans
/
Male
Language:
Korean
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2009
Document type:
Article