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Clin Orthop Surg.  2015 Mar;7(1):131-134. 10.4055/cios.2015.7.1.131.

Acromioclavicular Septic Arthritis and Sternoclavicular Septic Arthritis with Contiguous Pyomyositis

Affiliations
  • 1Department of Orthopaedic Surgery, Dwight D. Eisenhower Army Medical Center, Augusta, GA, USA.
  • 2Department of Infectious Disease, Gundersen Health System, La Crosse, WI, USA. waagger@gundersenhealth.org
  • 3Department of Orthopaedic Surgery, Gundersen Health System, La Crosse, WI, USA.

Abstract

Acromioclavicular (AC) and sternoclavicular (SC) septic arthritis with contiguous pyomyositis are rare, especially in immunocompetent individuals. We report a case of septic AC joint with pyomyositis of the deltoid and supraspinatus muscles and a separate case with septic SC joint with pyomysitis of the sternocleidomastoid muscle. Both patients had similar presentations of infections with Staphylococcus aureus and were successfully treated with surgical incision and drainage followed by prolonged antibiotic therapy.

Keyword

Infectious arthritis; Osteomyelitis; Pyomyositis; Acromioclavicular joint; Sternoclavicular joint

MeSH Terms

*Acromioclavicular Joint/microbiology
Adult
Anti-Bacterial Agents/administration & dosage
Arthritis, Infectious/diagnosis/microbiology/*therapy
Female
Humans
Magnetic Resonance Imaging
Pyomyositis/diagnosis/microbiology/*therapy
Staphylococcal Infections/complications/*therapy
*Staphylococcus aureus
*Sternoclavicular Joint/microbiology
Anti-Bacterial Agents
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