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Meticillin-sensitive Staphylococcus aureus costochondritis in a healthy man

Nature Reviews Rheumatology volume 5, pages 708–710 (2009)Cite this article

Abstract

Background. A 54-year-old previously healthy white man presented to hospital with fever, right parasternal pain and swelling over the right second and third costochondral joints. The symptoms had developed 1 week earlier.

Investigations. Physical examination, white blood cell count, erythrocyte sedimentation rate, C-reactive protein level, blood and urine culture, plain radiography and CT of the chest, 99mTc bone scintigraphy, ultrasound-guided needle aspiration of soft tissue mass, Gram staining and culture of aspirated fluid.

Diagnosis. Meticillin-sensitive Staphylococcus aureus costochondritis.

Management. CT revealed a 2 × 5 cm soft tissue mass at the posterior aspect of the right second and third costochondral joints. The fluid aspirated contained Gram-positive cocci, and culture revealed the presence of meticillin-sensitive S. aureus. The patient received a 6-week course of flucloxacillin (2 g by intravenous injection every 6 h for 2 weeks, then 1 g orally every 6 h for 4 weeks). He responded well to treatment, and was discharged from hospital.

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Authors and Affiliations

  1. Department of Rheumatology, Beaumont Hospital, Dublin, Ireland

    Ausaf F. Mohammad, Nicky Ambrose & Grainne Kearns

  2. Department of Medicine, Beaumont Hospital, Dublin, Ireland

    Ole-Petter R. Hamnvik

Authors
  1. Ausaf F. Mohammad
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  2. Nicky Ambrose
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  3. Ole-Petter R. Hamnvik
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  4. Grainne Kearns
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Correspondence to Ausaf F. Mohammad.

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Mohammad, A., Ambrose, N., Hamnvik, OP. et al. Meticillin-sensitive Staphylococcus aureus costochondritis in a healthy man. Nat Rev Rheumatol 5, 708–710 (2009). https://doi.org/10.1038/nrrheum.2009.216

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