Korean J Nephrol.  2008 Sep;27(5):594-599.

A Case of Osteomyelitis of the Clavicle as a Complication of Subclavian Vein Catheterization in Hemodialysis Patient

Affiliations
  • 1Department of Internal Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea. ihlee@cu.ac.kr

Abstract

Osteomyelitis (OM) of the clavicle is a rare complication of the central venous catheterization and has been reported infrequently in the literature. We report here a case of OM of the left clavicle complicating right subclavian vein catheterization performed for hemodialysis (HD). A 41-year-old male patient on HD for 3 months complained of pain and mass over the left sternoclavicular joint. Computerized tomography showed a demarcated soft tissue mass. Bone scan demonstrated increased tracer uptake in the left clavicle compatible with OM. The patient underwent surgical exploration with removal of the necrotic bone and he was treated with antibiotics including vancomycin. Afterward he remained well on HD. In conclusion, OM should be considered in any dialysis patient who develops pain and signs of inflammation in the sternoclavicular area after central venous catheterization for HD.

Keyword

Osteomyelitis; Catheterization; Central venous; Hemodialysis

MeSH Terms

Adult
Anti-Bacterial Agents
Catheterization
Catheterization, Central Venous
Catheters
Central Venous Catheters
Clavicle
Dialysis
Humans
Inflammation
Male
Osteomyelitis
Renal Dialysis
Sternoclavicular Joint
Subclavian Vein
Vancomycin
Anti-Bacterial Agents
Vancomycin
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