ArticleCureus2024
Septic Arthritis of the Sternoclavicular Joint Complicated by Empyema and Bronchopleural Fistula: A Case Report.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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5 authors.
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Abstract
Septic arthritis of the sternoclavicular joint is a rare infectious arthritis in which the risk factors are reported to be such as diabetes, immunosuppression, and intravenous drug use. Due to a lack of prominent symptoms, delayed diagnosis can lead to severe complications such as mediastinitis and empyema. Advanced sternoclavicular septic arthritis can be a hidden etiology masked by severe symptoms. Therefore, awareness of this condition is crucial for timely and appropriate treatment. We report a rare case of sternoclavicular septic arthritis progressing to empyema with bronchial fistulae. The patient was successfully treated with multidisciplinary interventions, including endoscopic bronchial occlusion, open-window thoracostomy, negative-pressure wound therapy, sternoclavicular joint debridement, and reconstruction with a contralateral pectoralis major flap. This report discussed the treatment strategy with a review of the previous literature.
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