Primary Sternal Osteomyelitis caused by Staphylococcus aureus in an Immunocompetent Adult
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Primary sternal osteomyelitis (PSO) is a rare condition that may develop without any contiguous focus of infection. Due to the rarity of the disease, early diagnosis and appropriate treatment are often delayed. Herein, we describe a patient with PSO caused by Staphylococcus aureus that presented with chest pain and fever. The patient had no predisposing factors for sternal osteomyelitis. The chest pain was thought to be non-cardiogenic, as electrocardiography and cardiac enzyme did not reveal ischemic changes when he visited the emergency room. After blood culture revealed the presence of S. aureus, every effort was made to identify the primary focus of infection. Bone scan and magnetic resonance imaging revealed osteomyelitis with soft tissue inflammation around the sternum. After 8 weeks of antibiotics treatment, the patient recovered without any complications.
Abstract
Primary sternal osteomyelitis (PSO) is a rare condition that may develop without any contiguous focus of infection. Due to the rarity of the disease, early diagnosis and appropriate treatment are often delayed. Herein, we describe a patient with PSO caused by Staphylococcus aureus that presented with chest pain and fever. The patient had no predisposing factors for sternal osteomyelitis. The chest pain was thought to be non-cardiogenic, as electrocardiography and cardiac enzyme did not reveal ischemic changes when he visited the emergency room. After blood culture revealed the presence of S. aureus, every effort was made to identify the primary focus of infection. Bone scan and magnetic resonance imaging revealed osteomyelitis with soft tissue inflammation around the sternum. After 8 weeks of antibiotics treatment, the patient recovered without any complications.
참고문헌 (17)
- Platt MA, "Primary sternal osteomyelitis with bacteremia and distal seeding", J Emerg Med, 43, pp.e93~e95 (2012)
- Mofredj A, "Primary sternal osteomyelitis and septicaemia due to Staphylococcus aureus", Scand J Infect Dis, 31, pp.98~100 (1999)
- Vacek TP, "Another cause of chest pain: Staphylococcus aureus sternal osteomyelitis in an otherwise healthy adult", Int Med Case Rep J, 7, pp.133~137 (2014)
- Gill EA Jr, "Primary sternal osteomyelitis", West J Med, 151, pp.199~203 (1989)
- Lin JC, "Primary sternal osteomyelitis", Ann Thorac Surg, 61, pp.225~227 (1996)
- Kara A, "Primary sternal osteomyelitis in a healthy child due to community-acquired methicillin-resistant Staphylococcus aureus and literature review", Scand J Infect Dis, 39, pp.469~472 (2007)
- Lo WK, "Primary sternal osteomyelitis presenting as a pleural-based mass", Chest, 103, pp.1912~1913 (1993)
- Kelly CA, "Primary sternal osteomyelitis", Thorax, 40, pp.872~873 (1985)
- 이준호, "Primary Sternal Osteomyelitis Caused by Actinomyces israelii", The Korean Journal of Thoracic and Cardiovascular Surgery, 48(1), pp.86~89 (2015), 대한흉부외과학회
- Chen YL, "Primary sternal osteomyelitis due to Peptostreptococcus anaerobius", Infection, 40, pp.195~197 (2012)
- Baraboutis IG, "Primary sternal osteomyelitis caused by Nocardia nova: case report and literature review", Braz J Infect Dis, 12, pp.257~259 (2008)
- de Carli DM, "Sternal osteomyelitis caused by infection with Mycobacterium tuberculosis", J Bras Pneumol, 35, pp.709~712 (2009)
- Cherif E, "Sternal tuberculosis in an immunocompetent adult", BMJ Case Rep, 2013, pp.bcr2013008~ (2013)
- 이인호, "원발성 흉골 골수염 -1예 보고-", The Korean Journal of Thoracic and Cardiovascular Surgery, 39(4), pp.340~342 (2006), 대한흉부외과학회
- 임형준, "폐암 환자에서 골전이로 오인된 흉골의 만성골수염", Nuclear Medicine and Molecular Imaging, 43(3), pp.245~249 (2009), 대한핵의학회
- Pineda C, "Imaging of osteomyelitis: current concepts", Infect Dis Clin North Am, 20, pp.789~825 (2006)
- 정희진, "Clinical Guidelines for the Antimicrobial Treatment of Bone and Joint Infections in Korea", Infection and Chemotherapy, 46(2), pp.125~138 (2014), 대한감염학회