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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Arthritis of the sternoclavicular joint masquerading as rupture of the cervical oesophagus: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Arthritis of the sternoclavicular joint masquerading as rupture of the cervical oesophagus a case report Iraklis E Katsoulis 1 Manuela Bossi1 Nisal Damani2 and Jeremy I Livingstone1 Address 1Upper Gastrointestinal Surgery Unit Watford General Hospital Watford Hertfordshire UK and 2Department of Radiology Watford General Hospital Watford Hertfordshire UK Email Iraklis E Katsoulis - hrkats@yahoo.co.uk Manuela Bossi - bossimanuela@yahoo.it Nisal Damani - Nisar.Damani@whht.nhs.uk Jeremy I Livingstone - Jeremy@Livingstone.Demon.co.uk Corresponding author Published 29 January 2009 Received 4 March 2008 Journal of Medical Case Reports 2009 3 40 doi 10.1186 1752-1947-3-40 Accepted 29 January 2009 This article is available from http www.jmedicalcasereports.cOm content 3 1 40 2009 Katsoulis et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Sternoclavicular septic arthritis is a rare condition and accounts only for 1 of cases of septic arthritis in the general population. The most common risk factors are intravenous drug use central-line infection distant-site infection immunosuppression trauma and diabetes mellitus. This is a report of an unusual case where this type of arthritis was masquerading as rupture of the cervical oesophagus. Case presentation A 63-year-old man presented complaining of right neck pain and dysphagia following a bout of violent coughing. Physical examination revealed cellulitis extending from the right sternoclidomastoid region to the anterior upper chest. Computed tomography showed inflammatory changes behind the right sternoclavicular joint with mediastinitis and ipsilateral pleural effusion. These findings .
