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New Emirates Medical Journal

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ISSN (Print): 0250-6882
ISSN (Online): 0250-6882

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Case Report

Sternoclavicular Joint Osteomyelitis Post Implantable Cardioverter Defibrillator Insertion: A Case Report

Author(s): Hussain M. AlQattan, Rawan A Alghamdi*, Amr A. Arafat, Mostafa Shalaby and Adam I Adam

Volume 4, Issue 2, 2023

Published on: 18 July, 2023

Article ID: e100423215581 Pages: 4

DOI: 10.2174/0250688204666230410090345

open_access

Abstract

Background: Implantable Cardioverter Defibrillator is a rare source of sternoclavicular joint (SCJ) infection. Management of SCJ infection is challenging because of the joint's proximity to major vascular structures.

Case Presentation: We presented a case of SCJ infection two years post implantable cardioverter-defibrillator insertion in a 70-year-old gentleman. We managed the patient successfully with minimal surgical debridement, followed by negative pressure suction and antibiotic therapy for eight weeks.

Discussion: Management of SCJ after implantable ICD is still challenging. Few cases reported the possibility of negative wound suction to manage this condition after wound debridement. Our case may support the conservative approach to managing SCJ infection.

Conclusion: SCJ infection can occur for a long time following ICD insertion. Wound debridement followed by negative wound therapy could be beneficial in the management of this condition.

Keywords: Osteomyelitis, Sternoclavicular joint infection, ICD insertion, Negative wound suction, Vacuum dressing, Wound care.

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