Primary infectious costochondritis due to Prevotella nigrescens in an immunocompetent patient: clinical and imaging findings.
Skeletal Radiol
; 48(8): 1305-1309, 2019 Aug.
Article
em En
| MEDLINE
| ID: mdl-30683976
ABSTRACT
Infection of costal cartilage is a rare observation. We report the case of a 43-year-old male patient without relevant history who presented with a progressive painful swelling of the left chest wall since 4 months. Computed tomography (CT) and magnetic resonance imaging (MRI) demonstrated an abscess within the left ninth costal cartilage with surrounding reactive changes. A CT-guided biopsy was performed and the culture of the sample revealed the presence of Prevotella nigrescens. Musculoskeletal infections by Prevotella are rarely described in the literature, Prevotella oralis and Prevotella bivia being the most frequently observed pathogens. These infections usually originate from a hematogenous spread after thoracic surgery or dental procedure. In our patient, conservative treatment was chosen. A clinical improvement was noted after 1-month antibiotherapy, confirmed by short-term and 6-month imaging follow-up showing the complete disappearance of all previously observed abnormalities.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Síndrome de Tietze
/
Infecções por Bactérias Gram-Negativas
/
Prevotella nigrescens
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
Skeletal Radiol
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Bélgica