Primary sternal osteomyelitis in an immunocompetent adolescent

Primary sternal osteomyelitis is an uncommon but challenging condition that frequently poses diagnostic difficulties. Imaging plays a crucial role in both diagnosing the condition and assessing potential complications. Treatment typically involves a combination of surgical drainage and a prolonged c...

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Main Authors: Fadwa Jaheddine, Ola Messaoud, Omar El Aoufir, Laila Jroundi
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S193004332500175X
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author Fadwa Jaheddine
Ola Messaoud
Omar El Aoufir
Laila Jroundi
author_facet Fadwa Jaheddine
Ola Messaoud
Omar El Aoufir
Laila Jroundi
author_sort Fadwa Jaheddine
collection DOAJ
description Primary sternal osteomyelitis is an uncommon but challenging condition that frequently poses diagnostic difficulties. Imaging plays a crucial role in both diagnosing the condition and assessing potential complications. Treatment typically involves a combination of surgical drainage and a prolonged course of antibiotics. We report the case of a 17-year-old immunocompetent male who presented with chest pain. Laboratory investigations revealed elevated inflammatory markers, and blood cultures, along with contrast-enhanced computed tomography, confirmed the diagnosis of primary sternal osteomyelitis. The patient was started on dual antibiotic therapy and underwent surgical drainage, with subsequent favorable clinical and radiological progression.
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series Radiology Case Reports
spelling doaj-art-6ceacee70c3a43938525a5b6fcd4bf842025-08-20T03:09:00ZengElsevierRadiology Case Reports1930-04332025-06-012062829283210.1016/j.radcr.2025.02.070Primary sternal osteomyelitis in an immunocompetent adolescentFadwa Jaheddine0Ola Messaoud1Omar El Aoufir2Laila Jroundi3Corresponding author.; Emergency Radiology Department, University Hospital Ibn Sina, Rabat, MoroccoEmergency Radiology Department, University Hospital Ibn Sina, Rabat, MoroccoEmergency Radiology Department, University Hospital Ibn Sina, Rabat, MoroccoEmergency Radiology Department, University Hospital Ibn Sina, Rabat, MoroccoPrimary sternal osteomyelitis is an uncommon but challenging condition that frequently poses diagnostic difficulties. Imaging plays a crucial role in both diagnosing the condition and assessing potential complications. Treatment typically involves a combination of surgical drainage and a prolonged course of antibiotics. We report the case of a 17-year-old immunocompetent male who presented with chest pain. Laboratory investigations revealed elevated inflammatory markers, and blood cultures, along with contrast-enhanced computed tomography, confirmed the diagnosis of primary sternal osteomyelitis. The patient was started on dual antibiotic therapy and underwent surgical drainage, with subsequent favorable clinical and radiological progression.http://www.sciencedirect.com/science/article/pii/S193004332500175XPrimary sternal osteomyelitisPSOSternumImmunocompetentCt scan
spellingShingle Fadwa Jaheddine
Ola Messaoud
Omar El Aoufir
Laila Jroundi
Primary sternal osteomyelitis in an immunocompetent adolescent
Radiology Case Reports
Primary sternal osteomyelitis
PSO
Sternum
Immunocompetent
Ct scan
title Primary sternal osteomyelitis in an immunocompetent adolescent
title_full Primary sternal osteomyelitis in an immunocompetent adolescent
title_fullStr Primary sternal osteomyelitis in an immunocompetent adolescent
title_full_unstemmed Primary sternal osteomyelitis in an immunocompetent adolescent
title_short Primary sternal osteomyelitis in an immunocompetent adolescent
title_sort primary sternal osteomyelitis in an immunocompetent adolescent
topic Primary sternal osteomyelitis
PSO
Sternum
Immunocompetent
Ct scan
url http://www.sciencedirect.com/science/article/pii/S193004332500175X
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AT olamessaoud primarysternalosteomyelitisinanimmunocompetentadolescent
AT omarelaoufir primarysternalosteomyelitisinanimmunocompetentadolescent
AT lailajroundi primarysternalosteomyelitisinanimmunocompetentadolescent