Primary Sternal Osteomyelitis caused by Staphylococcus aureus in an Immunocompetent Adult.
- Author:
Yu Na JANG
1
;
Hyung Sun SOHN
;
Sung Yeon CHO
;
Su Mi CHOI
Author Information
- Publication Type:Case Report
- Keywords: Immunocompetent host; Osteomyelitis; Sternum; Staphylococcus aureus
- MeSH: Adult*; Anti-Bacterial Agents; Causality; Chest Pain; Early Diagnosis; Electrocardiography; Emergency Service, Hospital; Fever; Humans; Inflammation; Magnetic Resonance Imaging; Osteomyelitis*; Staphylococcus aureus*; Staphylococcus*; Sternum
- From:Infection and Chemotherapy 2017;49(3):223-226
- CountryRepublic of Korea
- Language:English
- Abstract: 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.
