Primary Sternal Osteomyelitis caused by Staphylococcus aureus in an Immunocompetent Adult

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 wit...

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Bibliographic Details
Published inInfection & chemotherapy Vol. 49; no. 3; pp. 223 - 226
Main Authors Jang, Yu-Na, Sohn, Hyung-Sun, Cho, Sung-Yeon, Choi, Su-Mi
Format Journal Article
LanguageEnglish
Published Korea (South) The Korean Society of Infectious Diseases and Korean Society for Chemotherapy 01.09.2017
대한감염학회
Subjects
Case Report
내과학
Osteomyelitis
Sternum
Immunocompetent host
Staphylococcus aureus
Online AccessGet full text
ISSN2093-2340
2092-6448
DOI10.3947/ic.2017.49.3.223

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Summary: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.
Bibliography:ObjectType-Case Study-2
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ISSN:2093-2340
2092-6448
DOI:10.3947/ic.2017.49.3.223