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Case Reports in Orthopedics
Volume 2017, Article ID 7101694, 4 pages
https://doi.org/10.1155/2017/7101694
Case Report

Spontaneous Bilateral Sternoclavicular Joint Septic Arthritis and Lumbar Discitis: An Unusual Case in a Healthy Adult

1Princess Alexandra Hospital, Hamstel Road, Harlow CM20 1QX, UK
2Queen’s Medical Centre, Derby Rd, Nottingham NG7 2UH, UK

Correspondence should be addressed to Georgios Mamarelis; moc.liamtoh@sileramam.egroeg

Received 13 June 2017; Accepted 10 September 2017; Published 9 October 2017

Academic Editor: Ali F. Ozer

Copyright © 2017 Georgios Mamarelis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Septic arthritis of the sternoclavicular (SC) joint is a rare condition. Typically, it presents in patients with risk of infection and is usually unilateral. In this report, we describe a case of spontaneous bilateral sternoclavicular joint infection of an otherwise healthy adult. Case Presentation. A 67-year-old man presented in our hospital complaining of 2-week history of neck and chest pain which was radiating to his shoulders bilaterally. Clinical examination revealed erythema and swelling of the sternoclavicular area. Inflammatory markers were raised. Image investigation with CT and MRI was undertaken and verified the presence of bilateral sternoclavicular joint infection. The patient received prolonged course of intravenous antibiotics since his admission. The patient was discharged in a good condition and followed up in clinic. Conclusion. High index of clinical suspicion of SC joint infection is important for early diagnosis to avoid further complications.