혈액투석 환자에서 쇄골하정맥 도관 삽입 후 쇄골에 발생한 골수염 1예

• Published in: Kidney research and clinical practice Vol. 27; no. 5; pp. 594 - 599
• Main Authors: 박철연, Chul Yun Park, 배경륜, Kyung Ryun Bae, 전승운, Seung Woon Jun, 곽진호, Jin Ho Kwak, 이인희, In Hee Lee, 안기성, Ki Sung Ahn
• Format: Journal Article
• Language: Korean
• Published: 대한신장학회 30.09.2008
• Subjects: Catheterization; Central venous; Hemodialysis; Osteomyelitis; 내과학
• ISSN: 2211-9132; 2211-9140

Osteomyelitis (OM) of the clavicle is a rare complication of the central venous catheterization and has been reported infrequently in the literature. We report here a case of OM of the left clavicle complicating right subclavian vein catheterization performed for hemodialysis (HD). A 41-year-old male patient on HD for 3 months complained of pain and mass over the left sternoclavicular joint. Computerized tomography showed a demarcated soft tissue mass. Bone scan demonstrated increased tracer uptake in the left clavicle compatible with OM. The patient underwent surgical exploration with removal of the necrotic bone and he was treated with antibiotics including vancomycin. Afterward he remained well on HD. In conclusion, OM should be considered in any dialysis patient who develops pain and signs of inflammation in the sternoclavicular area after central venous catheterization for HD.