Journal of Otology & RhinologyISSN: 2324-8785

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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: [email protected]
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.

Keywords: Osteomyelitis; Sternoclavicular joint; Neck abscess; Staphylococcus aureus

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