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Chan DH, Lee MT, Zhang AQ, Ton EH, Wang SJ. Culture-negative primary sternal osteomyelitis in a patient with uncontrolled type 2 diabetes mellitus. Radiol Case Rep 2022; 17:3019-3024. [PMID: 35755117 PMCID: PMC9214721 DOI: 10.1016/j.radcr.2022.05.086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2022] [Revised: 05/25/2022] [Accepted: 05/28/2022] [Indexed: 11/21/2022] Open
Abstract
Primary sternal osteomyelitis (PSO) is a rare condition defined as an infection of the sternal bone marrow with no contiguous source of infection. The overlap in symptoms of PSO with other cutaneous and malignant pathologies often leads to misdiagnosis and delay of appropriate care. In this case report, we outline the presentation of PSO in a 30 year-old male patient who was newly diagnosed with type 2 diabetes mellitus. The patient was successfully treated with antibiotic therapy alone, without need for surgical intervention. Interestingly, the patient's workup returned with negative microbial cultures. To our knowledge, this patient represents the first reported case of a spontaneously presenting, culture-negative PSO.
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Affiliation(s)
- David H. Chan
- Southern Hills Hospital and Medical Center, 9300 W Sunset Rd, Las Vegas, NV, 89145, USA
- HCA Healthcare, Nashville, TN, USA
- Corresponding author.
| | - Michael T. Lee
- Southern Hills Hospital and Medical Center, 9300 W Sunset Rd, Las Vegas, NV, 89145, USA
- HCA Healthcare, Nashville, TN, USA
| | - Amy Q. Zhang
- Southern Hills Hospital and Medical Center, 9300 W Sunset Rd, Las Vegas, NV, 89145, USA
- HCA Healthcare, Nashville, TN, USA
| | - Erinn H. Ton
- Southern Hills Hospital and Medical Center, 9300 W Sunset Rd, Las Vegas, NV, 89145, USA
- HCA Healthcare, Nashville, TN, USA
| | - Shyh-Jeun Wang
- Southern Hills Hospital and Medical Center, 9300 W Sunset Rd, Las Vegas, NV, 89145, USA
- HCA Healthcare, Nashville, TN, USA
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Mohammed I, Ahmad J, Oyebanji T, Abdurrhman M, Adamu K, Abubakar K, Aliyu I. Primary sternal osteomyelitis and sickle cell anemia. MEDICAL JOURNAL OF DR. D.Y. PATIL VIDYAPEETH 2022. [DOI: 10.4103/mjdrdypu.mjdrdypu_336_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Jang YN, Sohn HS, Cho SY, Choi SM. Primary Sternal Osteomyelitis caused by Staphylococcus aureus in an Immunocompetent Adult. Infect Chemother 2017; 49:223-226. [PMID: 28608656 PMCID: PMC5620390 DOI: 10.3947/ic.2017.49.3.223] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2016] [Accepted: 06/28/2016] [Indexed: 11/24/2022] Open
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.
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Affiliation(s)
- Yu Na Jang
- Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Hyung Sun Sohn
- Department of Nuclear Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Sung Yeon Cho
- Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.,Vaccine Bio Research Institute, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Su Mi Choi
- Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.,Vaccine Bio Research Institute, College of Medicine, The Catholic University of Korea, Seoul, Korea.
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