Case Report, J Otol Rhinol Vol: 4 Issue: 1
Neck Abscess and Osteomyelitis Secondary to a Sternoclavicular Septic Arthritis: a Case Report
Rijken JA*, Hoek J and Eerenstein SE | |
Department of Otolaryngology/Head and Neck Surgery, VU University Medical Center, Amsterdam, The Netherlands | |
Corresponding author : Johannes Rijken Willem, Andriessenlaan, 18 1187 HC, Amstelveen, The Netherlands E-mail: j.rijken@vumc.nl |
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Received: June 21, 2014 Accepted: August 28, 2014 Published: January 27, 2015 | |
Citation: Rijken JA, Hoek J, Eerenstein SE (2015) Neck Abscess and Osteomyelitis Secondary to a Sternoclavicular Septic Arthritis: A Case Report. J Otol Rhinol 4:1. doi:10.4172/2324-8785.1000207 |
Abstract
Neck Abscess and Osteomyelitis Secondary to a Sternoclavicular Septic Arthritis: a Case Report
A 64-year old female was referred to our Ear Nose and Throat (ENT) / Head & Neck surgery department due to a progressive, painful swelling on the left side of the neck since 2 weeks. A couple of weeks prior to the painful swelling in the neck she had left shoulder complaints. A contrast enhanced CT scan was made showing an impressive neck abscess, with an estimated volume of 200cc. After clinical examination, intensive surgical exploration and abscess drainage took place. Cultures showed a Staphylococcus aureus, for which prolonged intravenous antibiotic treatment (Augmentin, Clindamycin) followed. Disregulated diabetes mellitus might have been a predisposing factor, but osteomyelitis of the sternoclavicular (SC) joint proved to be the cause of abscess formation.