{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T20:28:39Z","timestamp":1773088119265,"version":"3.50.1"},"reference-count":8,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,7,1]]},"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>Sternoclavicular joint osteomyelitis is extremely rare, with only 225 reported cases in the last 45 years. We present an unusual case in an otherwise healthy 55-year-old man with a history of well-controlled type 2 diabetes mellitus and hypertension. He presented to the emergency department after a week of left knee pain that worsened to full-body joint pain with left sternoclavicular swelling. He was started on antibiotics with multiple washouts of the left knee and treated for septic arthritis. By MRI and CT, he was found to have left sternoclavicular joint osteomyelitis and abscess and underwent debridement and resection. We believe that the initial joint injection resulted in haematogenous spread to the left sternoclavicular joint, stressing the importance of a sterile field for joint procedures.<\/jats:p>","DOI":"10.1136\/bcr-2021-241778","type":"journal-article","created":{"date-parts":[[2021,7,19]],"date-time":"2021-07-19T10:50:11Z","timestamp":1626691811000},"page":"e241778","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["<i>Cutibacterium acnes<\/i> sternoclavicular joint osteomyelitis in an otherwise healthy 55-year-old man"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8799-4703","authenticated-orcid":false,"given":"Sean","family":"Yaphe","sequence":"first","affiliation":[{"name":"Family Medicine, Henry Ford Hospital, Detroit, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kemal","family":"Bahcheli","sequence":"additional","affiliation":[{"name":"Family Medicine, Henry Ford Hospital, Detroit, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,7,19]]},"reference":[{"key":"2025082801020123000_14.7.e241778.1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2014\/747315","article-title":"Treatment of sternoclavicular joint osteomyelitis with debridement and delayed resection with muscle flap coverage improves outcomes","volume":"2014","author":"Muesse","year":"2014","journal-title":"Surg Res Pract"},{"key":"2025082801020123000_14.7.e241778.2","doi-asserted-by":"crossref","first-page":"460","DOI":"10.5999\/aps.2020.00717","article-title":"A multi-institutional analysis of sternoclavicular joint coverage following osteomyelitis","volume":"47","author":"Othman","year":"2020","journal-title":"Arch Plast Surg"},{"key":"2025082801020123000_14.7.e241778.3","doi-asserted-by":"publisher","DOI":"10.3389\/fmicb.2016.00697"},{"key":"2025082801020123000_14.7.e241778.4","doi-asserted-by":"publisher","DOI":"10.1097\/01.md.0000126761.83417.29"},{"key":"2025082801020123000_14.7.e241778.5","doi-asserted-by":"crossref","first-page":"1503","DOI":"10.21037\/jtd.2017.05.76","article-title":"Treatment for sternoclavicular joint infections: a multi-institutional study","volume":"9","author":"Murga","year":"2017","journal-title":"J Thorac Dis"},{"key":"2025082801020123000_14.7.e241778.6","doi-asserted-by":"crossref","first-page":"4418","DOI":"10.21037\/jtd-20-761","article-title":"Diagnosis and management of sternoclavicular joint infections: a literature review","volume":"12","author":"Tasnim","year":"2020","journal-title":"J Thorac Dis"},{"key":"2025082801020123000_14.7.e241778.7","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1080\/03009742.2019.1584329","article-title":"Low frequency of septic arthritis after Arthrocentesis and intra-articular glucocorticoid injection","volume":"48","author":"Petersen","year":"2019","journal-title":"Scand J Rheumatol"},{"key":"2025082801020123000_14.7.e241778.8","doi-asserted-by":"crossref","DOI":"10.4081\/idr.2017.7185","article-title":"Native join Propionibacterium septic arthritis","volume":"9","author":"Taylor","year":"2017","journal-title":"Infect Dis Rep"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-241778","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:02:07Z","timestamp":1756368127000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-241778"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":8,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2021,7,19]]},"published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1136\/bcr-2021-241778"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-241778","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}