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Primary infectious costochondritis due to Prevotella nigrescens in an immunocompetent patient: clinical and imaging findings.

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Derouane, Françoise [UCL] Lambert, Michel [UCL] De Greef, Julien [UCL] Malghem, Jacques [UCL] Lecouvet, Frédéric [UCL]

Infection of costal cartilage is a rare observation. We report the case of a 43-year-old male patient without relevant history who presented with a progressive painful swelling of the left chest wall since 4 months. Computed tomography (CT) and magnetic resonance imaging (MRI) demonstrated an abscess within the left ninth costal cartilage with surrounding reactive changes. A CT-guided biopsy was performed and the culture of the sample revealed the presence of Prevotella nigrescens. Musculoskeletal infections by Prevotella are rarely described in the literature, Prevotella oralis and Prevotella bivia being the most frequently observed pathogens. These infections usually originate from a hematogenous spread after thoracic surgery or dental procedure. In our patient, conservative treatment was chosen. A clinical improvement was noted after 1-month antibiotherapy, confirmed by short-term and 6-month imaging follow-up showing the complete disappearance of all previously observed abnormalities.

Type de document Article de périodique (Journal article) – Article de recherche
Type d'accès Accès libre
Année de publication 2019
Langue Anglais
Information sur le périodique "Skeletal Radiology" - Vol. 48, no. 8, p. 1305-1309 (2019)
Peer reviewed oui
Editeur Springer Verlag ((Germany) Berlin)
issn 0364-2348
e-issn 1432-2161
Statut de la publication Publié
Affiliations UCL - SSS/IREC/FATH - Pôle de Pharmacologie et thérapeutique
UCL - SSS/IREC/IMAG - Pôle d'imagerie médicale
UCL - (SLuc) Service de médecine interne et maladies infectieuses (MIMI)
UCL - (SLuc) Service de radiologie
Mots-clés CT ; Cartilage ; Chest ; Costochondritis ; Infection ; MRI ; Prevotella ; Skeleton
Liens
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Référence bibliographique Derouane, Françoise ; Lambert, Michel ; De Greef, Julien ; Malghem, Jacques ; Lecouvet, Frédéric. Primary infectious costochondritis due to Prevotella nigrescens in an immunocompetent patient: clinical and imaging findings.. In: Skeletal Radiology, Vol. 48, no. 8, p. 1305-1309 (2019)
Permalien http://hdl.handle.net/2078.1/212459