Open AccessSternal osteomyelitis and infective endocarditis after old trivial chest trauma in untreated diabetes mellitus: A case report
Author(s) -
Kurihara Ibuki,
Kashiura Masahiro,
Moriya Takashi,
Sugawara Hitoshi
Publication year - 2020
Publication title -
journal of general and family medicine
Language(s) - English
Resource type - Journals
ISSN - 2189-7948
DOI - 10.1002/jgf2.347
Subject(s) - medicine , infective endocarditis , osteomyelitis , surgery , chest pain , diabetes mellitus , abscess , endocarditis , sternum , staphylococcus aureus , blunt trauma , mediastinitis , radiology , endocrinology , biology , bacteria , genetics
An 82‐year‐old man with untreated diabetes mellitus (DM) had anterior chest wall swelling and ulcers 2 years following blunt chest trauma. Contrast‐enhanced computed tomography revealed sternal fracture with osteolytic change and subcutaneous abscess. Blood and sternal cultures were positive for methicillin‐susceptible Staphylococcus aureus (MSSA). Transesophageal echocardiogram showed vegetation on the right coronary cusp and moderate aortic regurgitation. The patient received a diagnosis of infective endocarditis associated with chronic sternal osteomyelitis complicated by subcutaneous abscess because of MSSA. This case report showed that trivial trauma in patients with uncontrolled DM can cause chronic sternal osteomyelitis resulting in infective endocarditis.