A Unique Presentation of Chronic Primary Sternal Osteomyelitis With Mediastinal Abscess

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A Unique Presentation of Chronic Primary Sternal Osteomyelitis With Mediastinal Abscess.

A previously healthy 9-month-old boy presented to the emergency department with 4 days of daily fevers as high as 39.1°C rectally. Parents reported that he was increasingly difficult to console for the previous several days. Although not initially reported, after the diagnosis was made, the parents reported occasional tactile fever and difficulty sleeping, particularly when lying prone, over th...

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Infections caused by Gemella morbillorum are uncommon. This organism is primarily associated with endocarditis and bacteremia and rarely with spondylodiscitis, arthritis, hepatic abscesses and meningitis. Sternal osteomyelitis caused by G. morbillorum has not yet been reported. We herein present a case of sternal osteomyelitis with a mediastinal abscess caused by G. morbillorum that occurred in...

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Primary sternal osteomyelitis.

Primary sternal osteomyelitis is a rare condition. Only few cases have been reported in the English literature. We describe the case of a young woman presenting with persistent fever and chest pain. Radionuclide bone scan and computed tomography of the chest were consistent with metastatic neoplasm. Surgical intervention, however, revealed primary staphylococcal osteomyelitis and the patient wa...

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Primary Sternal Osteomyelitis: A Case Report and Review of the Literature

Primary sternal osteomyelitis is a rare clinical entity generally caused by Staphylococcus aureus or Pseudomonas aeruginosa.Although rare it carries significant morbidity including spread to mediastinal structures and even mortality. Diagnosis is generally made on clinical suspicion in a patient with and anterior chest pain and swelling, fever and raised inflammatory markers. Management is gene...

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A 58 year old man presented with an anterior myocardial infarction requiring repeated resuscitation. He had impaired glucose tolerance. He died five weeks later and post-mortem examination revealed a myocardial abscess and sternal osteomyelitis due to Staphylococcus aureus. These had not been apparent clinically. The possible aetiology and difficulties in diagnosis are discussed.

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ژورنال

عنوان ژورنال: Journal of the Pediatric Infectious Diseases Society

سال: 2012

ISSN: 2048-7193,2048-7207

DOI: 10.1093/jpids/pis002