Sternoclavicular joint infection caused by Coxiella burnetii: A case report
Journal of Medical Case Reports, ISSN: 1752-1947, Vol: 10, Issue: 1, Page: 139
2016
- 10Citations
- 15Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Metrics Details
- Citations10
- Citation Indexes10
- 10
- Captures15
- Readers15
- 15
Article Description
Background: Few cases of Q fever osteoarticular infection have been reported, with chronic osteomyelitis as the most common manifestation of Q fever osteoarticular infection. Here we present the case of a sternoclavicular joint infection caused by Coxiella burnetii and localized by positron emission tomography scanning. Case presentation: A 67-year-old French man from south France was hospitalized for fever and confusion. An examination revealed subclavicular and axillary lymph node enlargement. Computed tomography scanning and transesophageal echocardiogram were normal, and magnetic resonance imaging scanning did not reveal signs of infection. An immunofluorescence assay of an acute serum sample was positive for C. burnetii and he was treated with 200 mg doxycycline for 21 days. An immunofluorescence assay of convalescent serum sampled after 2 months revealed very high C. burnetii antibody titers. To localize the site of the infection, we performed positron emission tomography scanning, which revealed intense fluorodeoxyglucose uptake in his right sternoclavicular joint; treatment with 200 mg oral doxycycline daily and 200 mg oral hydroxychloroquine three times daily for 18 months was initiated. Conclusions: Q fever articular infections may be undiagnosed, and we strongly urge the use of positron emission tomography scanning in patients with high C. burnetii antibody titers to localize the site of C. burnetii infection.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84971574861&origin=inward; http://dx.doi.org/10.1186/s13256-016-0948-x; http://www.ncbi.nlm.nih.gov/pubmed/27246557; http://jmedicalcasereports.biomedcentral.com/articles/10.1186/s13256-016-0948-x; https://dx.doi.org/10.1186/s13256-016-0948-x; https://jmedicalcasereports.biomedcentral.com/articles/10.1186/s13256-016-0948-x; http://link.springer.com/article/10.1186/s13256-016-0948-x/fulltext.html; https://link.springer.com/track/pdf/10.1186/s13256-016-0948-x; https://link.springer.com/articles/10.1186/s13256-016-0948-x; https://link.springer.com/article/10.1186/s13256-016-0948-x; https://jmedicalcasereports.biomedcentral.com/counter/pdf/10.1186/s13256-016-0948-x
Springer Nature
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