Meticillin-sensitive Staphylococcus aureus costochondritis in a healthy man.
Mohammad, Ausaf F Ambrose, Nicky Hamnvik, Ole-Petter R Kearns, Grainne
Mohammad, Ausaf F
Ambrose, Nicky
Hamnvik, Ole-Petter R
Kearns, Grainne
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Editors
Other Contributors
Date
2009-12
Date Submitted
Keywords
Other Subjects
Subject Mesh
Anti-Bacterial Agents
Floxacillin
Humans
Male
Middle Aged
Staphylococcal Infections
Staphylococcus aureus
Tietze's Syndrome
Floxacillin
Humans
Male
Middle Aged
Staphylococcal Infections
Staphylococcus aureus
Tietze's Syndrome
Planned Date
Start Date
Collaborators
Principal Investigators
Alternative Titles
Publisher
Abstract
A 54-year-old previously healthy white man presented to hospital with fever, right parasternal pain and swelling over the right second and third costochondral joints. The symptoms had developed 1 week earlier.
Physical examination, white blood cell count, erythrocyte sedimentation rate, C-reactive protein level, blood and urine culture, plain radiography and CT of the chest, (99m)Tc bone scintigraphy, ultrasound-guided needle aspiration of soft tissue mass, Gram staining and culture of aspirated fluid.
Meticillin-sensitive Staphylococcus aureus costochondritis.
CT revealed a 2 x 5 cm soft tissue mass at the posterior aspect of the right second and third costochondral joints. The fluid aspirated contained Gram-positive cocci, and culture revealed the presence of meticillin-sensitive S. aureus. The patient received a 6-week course of flucloxacillin (2 g by intravenous injection every 6 h for 2 weeks, then 1 g orally every 6 h for 4 weeks). He responded well to treatment, and was discharged from hospital.
Physical examination, white blood cell count, erythrocyte sedimentation rate, C-reactive protein level, blood and urine culture, plain radiography and CT of the chest, (99m)Tc bone scintigraphy, ultrasound-guided needle aspiration of soft tissue mass, Gram staining and culture of aspirated fluid.
Meticillin-sensitive Staphylococcus aureus costochondritis.
CT revealed a 2 x 5 cm soft tissue mass at the posterior aspect of the right second and third costochondral joints. The fluid aspirated contained Gram-positive cocci, and culture revealed the presence of meticillin-sensitive S. aureus. The patient received a 6-week course of flucloxacillin (2 g by intravenous injection every 6 h for 2 weeks, then 1 g orally every 6 h for 4 weeks). He responded well to treatment, and was discharged from hospital.
Language
en
ISSN
1759-4804
eISSN
ISBN
DOI
10.1038/nrrheum.2009.216
PMID
19946297