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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Monteiro, Nadine Silva, Alberto Mello Lérias, Graça Moleiro, Filipa |
| Description | Author Affiliation: Monteiro N ( Department of Internal Medicine, Centro Hospitalar Lisboa Ocidental, EPE - Hospital Egas Moniz, Lisboa, Portugal.); Moleiro F ( Department of Internal Medicine, Centro Hospitalar Lisboa Ocidental, EPE - Hospital Egas Moniz, Lisboa, Portugal.); Lérias G ( Department of Internal Medicine, Centro Hospitalar Lisboa Ocidental, EPE - Hospital Egas Moniz, Lisboa, Portugal.); Silva AM ( Department of Internal Medicine, Centro Hospitalar Lisboa Ocidental, EPE - Hospital Egas Moniz, Lisboa, Portugal.) |
| Abstract | We report a case of a 74-year-old man who presented to the emergency department with a 1-week history of fever. He had a meatal stenosis and had a suprapubic catheter for 10â months, and had a recent hospitalisation for urosepsis with bacteraemia due to methicillin-resistant Staphylococcus aureus after manipulation of the catheter. Clinical examinations were performed in the emergency department and the patient was hospitalised with the diagnosis of recurrent urinary tract infection. The following day, we noticed the development of a mass in the left sternoclavicular joint with inflammatory signs and excruciating pain. Ultrasonographic findings led to the diagnosis of left sternoclavicular synovitis, and methicillin-resistant S. aureus grew in blood cultures leading to the diagnosis of sternoclavicular septic arthritis. Treatment with vancomycin and gentamicin was started and maintained for 4â weeks with complete resolution of symptoms and no complications or sequelae. |
| Volume Number | 2015 |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Arthritis, Infectious Catheters Methicillin-Resistant Staphylococcus Aureus Isolation & Purification Staphylococcal Infections Sternoclavicular Joint Synovitis Aged Anti-Bacterial Agents Therapeutic Use Complications Drug Therapy Diagnosis, Differential Gentamicins Humans Male Treatment Outcome Ultrasonography Vancomycin Case Reports Journal Article Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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