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{
    "pk": 1563,
    "title": "Septic Arthritis of the Sternoclavicular Joint",
    "subtitle": null,
    "abstract": "<b>Introduction: </b>Sternoclavicular joint (SCJ) septic arthritis is a rare but rapidly fatal joint infection. Without proper medical or surgical management, it can progress to osteomyelitis, chest wall abscess, mediastinitis, or myositis.<p></p><p><b><b>Case Report:</b> </b>A 57-year-old male with a past history of intravenous drug use presented to the emergency department (ED) with chest tenderness of one week duration. Vital signs were unremarkable, and exam was notable for tender, raised right SCJ without any fluctuance. On point-of-care ultrasound we noted fluid collection and capsular distention along the SCJ, which aided in rapidly diagnosing septic arthritis. The patient was immediately started on antibiotics and taken to the operating room for excision and debridement.</p><p></p><p><b><b><b>Conclusion:</b> </b></b>While computed tomography is routinely used in the emergency department for diagnosing septic arthritis, ultrasound offers a rapid and safe alternative for diagnosis. </p>",
    "language": null,
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "septic arthritis"
        },
        {
            "word": "sternoclavicular joint"
        },
        {
            "word": "ultrasound"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/0ph174q3",
    "frozenauthors": [
        {
            "first_name": "George",
            "middle_name": "V.",
            "last_name": "Koshy",
            "name_suffix": "",
            "institution": "Department of Emergency Medicine, Geisinger Medical Center, Danville, Pennsylvania",
            "department": "Emergency Medicine"
        },
        {
            "first_name": "Richard",
            "middle_name": "",
            "last_name": "Davis",
            "name_suffix": "",
            "institution": "Department of Emergency Medicine, Geisinger Medical Center, Danville, Pennsylvania",
            "department": ""
        },
        {
            "first_name": "Christopher",
            "middle_name": "",
            "last_name": "Wilson",
            "name_suffix": "",
            "institution": "Department of Emergency Medicine, Geisinger Medical Center, Danville, Pennsylvania",
            "department": ""
        }
    ],
    "date_submitted": "2023-07-28T18:12:39.573000+03:00",
    "date_accepted": "2023-11-10T03:03:40.033000+03:00",
    "date_published": "2024-01-25T17:00:00+03:00",
    "render_galley": {
        "label": "Final Article",
        "type": "pdf",
        "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1563/galley/4328/download/"
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        {
            "label": "Final Article",
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            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1563/galley/4328/download/"
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}