479 results match your criteria Costochondritis


Primary Sternal Tubercular Osteomyelitis: A Rare Cause of Chronic Chest Pain.

Authors:
Hani Saif

Cureus 2021 Mar 17;13(3):e13959. Epub 2021 Mar 17.

Obstetrics and Gynecology, Niger Central Hospital, Niamey, NER.

Sternal osteomyelitis is a rare clinical condition that occasionally develops when there is an adjacent focus of infection. However, primary sternal tubercular osteomyelitis is an extremely rare form. We describe the case of a 52-year-old Indian male who presented with a two-year history of central chest pain. Read More

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Somatic Mutations in UBA1 Define a Distinct Subset of Relapsing Polychondritis Patients with VEXAS Syndrome.

Arthritis Rheumatol 2021 Mar 28. Epub 2021 Mar 28.

Hematology Branch, National Heart, Lung, and Blood Institute, Bethesda, MD, USA.

Objective: Somatic mutations in ubiquitin activating enzyme 1 (UBA1) cause a newly defined syndrome known as VEXAS. More than fifty percent of patients currently identified with VEXAS meet diagnostic criteria for relapsing polychondritis (RP). Clinical features that characterize VEXAS within a cohort of RP have not been defined. Read More

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An Unusual Presentation of Chest Pain in a Patient With Cystic Fibrosis: A Case Report.

Pediatr Phys Ther 2021 Apr;33(2):E99-E102

Departments of Rehabilitation (Drs Traylor and DiPilla-George) and Pulmonology (Dr Tirakitsoontorn), CHOC Children's Hospital of Orange County, Orange, California.

Purpose: This case report describes the identification and treatment of costochondritis with suspected neural entrapment in a 14-year-old individual diagnosed with cystic fibrosis.

Summary Of Key Points: The individual discussed in this report had resolution of his chest pain with additional improvement in pulmonary function test results.

Statement Of Conclusion And Recommendations For Clinical Practice: This case supports the need for musculoskeletal and neuromuscular screening and intervention for patients with cystic fibrosis. Read More

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Trunk Injuries in Athletes.

Curr Sports Med Rep 2021 Mar;20(3):150-156

Department of PM&R, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA.

Abstract: Trunk pain is a common cause of performance limitation and time away from sport in athletes. However, atraumatic trunk injuries are underrepresented in medical literature and underrecognized clinically. Delays in diagnosis and initiation of appropriate treatment can increase injury morbidity and return-to-play time. Read More

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Infective costochondritis and multiple abscesses in a healthy adult.

BMJ Case Rep 2021 Jan 15;14(1). Epub 2021 Jan 15.

Department of Internal Medicine, Fukuoka-ken Saiseikai Futsukaichi Byoin, Chikushino, Fukuoka, Japan.

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January 2021

costochondritis following coronary artery bypass grafting: a case report and a brief review of literature.

Asian Cardiovasc Thorac Ann 2021 Jan 14:218492320988458. Epub 2021 Jan 14.

Department of Microbiology, The Christian Medical College, Vellore, India.

Bacterial sternal wound infections following cardiac surgery are not uncommon. However, sternal wound infection by a fungus is a rarity, and it warrants a correct diagnosis followed by specific treatment. We report a case of sternal wound infection with costochondritis following cardiac surgery, and briefly review the relevant literature. Read More

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January 2021

Acute Chest Pain in Adults: Outpatient Evaluation.

Am Fam Physician 2020 12;102(12):721-727

The Ohio State University Wexner Medical Center, Columbus, OH, USA.

Approximately 1% of primary care office visits are for chest pain, and 2% to 4% of these patients will have unstable angina or myocardial infarction. Initial evaluation is based on determining whether the patient needs to be referred to a higher level of care to rule out acute coronary syndrome (ACS). A combination of age, sex, and type of chest pain can predict the likelihood of coronary artery disease as the cause of chest pain. Read More

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December 2020

Hemophagocytic Lymphohistiocytosis and Relapsing Polychondritis with Acute Myelogenous Leukemia: Case Report and Review of the Literature.

Am J Case Rep 2020 Aug 19;21:e925287. Epub 2020 Aug 19.

Department of Internal Medicine, Palestine Medical Complex, Ramallah, West Bank, Palestinian Territory, Occupied.

BACKGROUND This case report describes rare disease entities with possible associations that include relapsing polychondritis, a rare disease with systemic manifestations characterized by bouts of inflammation in hyaline cartilage in multiple body sites, and hemophagocytic lymphohistiocytosis (HLH), another potentially life-threatening condition that occurs due to erratic activation of the immune system accompanied by pancytopenia. Both diseases constitute a real challenge to diagnose and treat. These entities, their associations, and treatment protocols and prognosis for them are highlighted. Read More

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Reliability and versatility of the Wise pattern, medial pedicle for breast reduction in South Africa.

Surg Open Sci 2020 Apr 11;2(2):85-91. Epub 2020 Jan 11.

Department of Plastic and Reconstructive Surgery, Chris Hani Baragwanath Academic Hospital, 26 Chris Hani Rd, Soweto, Johannesburg, South Africa, 1864.

Background: Breast hypertrophy is a condition of abnormal enlargement of the breast which may continue until each breast weighs more than 1.5 kg (macromastia) or even more than 2 kg (gigantomastia). Supporting such heavy weights leads to cervical and upper thoracic back pain, costochondritis, and fungal infections in the mammary folds, making reduction mammoplasty essential. Read More

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External application of two unrestricted herbal medicines to treat costochondritis in a young collegiate athlete: A case report.

J Integr Med 2020 Sep 10;18(5):450-454. Epub 2020 Jul 10.

Department of Obstetrics and Gynecology, Zhuhai Fanghua Hospital, Zhuhai 519100, Guangdong Province, China. Electronic address:

Costochondritis (ChC), especially chronic ChC, typically manifests as spontaneous vague pain in anterior chest area and often occurs in adolescents for unknown reasons; it has prevented many collegiate athletes from participating in physical training and competitions. A 21-year-old female collegiate taekwondo athlete suffering from chronic chest pain was sent by her coaches for diagnosis and treatment. Seated motion palpation was used to identify spontaneous and motion-involved pain areas. Read More

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September 2020

Tietze Syndrome.

Mediterr J Rheumatol 2020 Jun 24;31(2):224. Epub 2020 Apr 24.

Reumatologia, Dipartimento di Medicina, University of Perugia, Italy.

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Acute myocardial injury after administration of intravenous epinephrine for allergic reaction.

SAGE Open Med Case Rep 2020 17;8:2050313X20933104. Epub 2020 Jun 17.

Department of Internal Medicine, Emory University School of Medicine, Atlanta, GA, USA.

Myocardial injury or infarction in the setting of anaphylaxis can be due to anaphylaxis itself, known as Kounis syndrome, or as a result of treatment with epinephrine. Myocardial ischemia caused by therapeutic doses of epinephrine in the setting of anaphylaxis is a rare event attributed to coronary artery vasospasm. A 41-year-old female with past medical history of recurrent costochondritis, chronic thrombocytopenia, and nonspecific palindromic rheumatism presented to the emergency department with perioral numbness, flushing and throat tightness after a meal containing fish and almonds. Read More

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Imaging in the Evaluation of Chest Pain in the Primary Care Setting, Part 2: Sources of Noncardiac Chest Pain.

Am J Med 2020 10 20;133(10):1135-1142. Epub 2020 May 20.

Department of Radiology & Biomedical Imaging.

Chest pain is a common presenting complaint in the primary care setting. Imaging plays a key role in the evaluation of the multiple organ systems that can be responsible for chest pain. With numerous imaging modalities available, determination of the most appropriate test and interpretation of the findings can be a challenge for the clinician. Read More

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October 2020

[Costochondritis and Osteomyelitis of the Ribs after Intercostal Thoracotomy].

Kyobu Geka 2020 Feb;73(2):117-119

Division of General Thoracic Surgery, Kohka Public Hospital, Kohka, Japan.

A 53-year-old man underwent surgical repair and drainage of a spontaneous esophageal rupture through a left anterolateral intercostal thoracotomy. Thereafter, wound infection persisted for 3 years with formation of cutaneous fistulae and granulation tissue. Chest computed tomography revealed osteolysis, swollen ribs and costal cartilage, and cutaneous fistulous tracts. Read More

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February 2020

Minimally Invasive Repair of Adult Slipped Rib Syndrome Without Costal Cartilage Excision.

Ann Thorac Surg 2020 09 21;110(3):1030-1035. Epub 2020 Apr 21.

Division of Thoracic Surgery, West Virginia University College of Medicine, Heart and Vascular Institute, Morgantown, West Virginia.

Background: Slipped rib syndrome (SRS) is a painful disorder caused when 1 or more of the 8th-10th false ribs become abnormally mobile. Established treatment modalities include analgesia, intercostal nerve injection, and costal cartilage excision. No definitive surgical correction of SRS without cartilage excision has been previously described. Read More

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September 2020

Infectious mononucleosis like illness with costochondritis and profound relative lymphocytosis due to Coxsackie A.

IDCases 2019 11;18:e00597. Epub 2019 Jul 11.

Infectious Disease Division, NYU Winthrop Hospital, Mineola, New York, United States.

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A case of Tietze's syndrome visualized on PET/CT-FDG.

Nucl Med Rev Cent East Eur 2019 ;22(2):88-89

Mohammed V Military Teaching Hospital, Mohammed V University of Rabat., Po Box 6614. Rabat Institutes. 10101 Rabat. Morocco., 10101 Rabat, Morocco.

We report an interesting image of a 49-year-old woman revealed with Tietze's syndrome (TS) by ¹⁸F-FDG PET/CT. She presented with right upper sternum pain with a hard and fixed palpable mass. Chest radiograph and CT-Scanner revealed no abnormalities. Read More

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January 2020

Refractory Tietze's Syndrome Occurring after Lumbar Spine Surgery in Prone Position.

Indian J Orthop 2019 Jul-Aug;53(4):574-577

Mallika Spine Centre, Guntur, Andhra Pradesh, India.

Positional complications in spine surgery are not uncommon. Commonly encountered complications include ocular and aural, other than musculoskeletal injuries. However, development of Tietze's syndrome due to malpositioning has not been reported till date. Read More

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When chest pain is not "just" Tietze's syndrome: a case of non-Hodgkin's lymphoma.

Clin Exp Rheumatol 2019 Jul-Aug;37(4):714. Epub 2019 Apr 2.

Polytechnic University of Marche, Rheumatology Unit, Department of Clinical and Molecular Sciences, "Carlo Urbani" Hospital, Jesi, Ancona, Italy.

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Immunopathological findings in a cat with auricular chondritis.

Acta Vet Hung 2019 03;67(1):81-86

1 Laboratory of Veterinary Pathology , 70330-050 Brasília, DF , Brazil.

At clinical examination, a 5-year-old male domestic short-haired cat exhibited painful swelling and erythema of the pinnae of both ears. Microscopically, the lesions on both pinnae were composed of diffuse granulomatous chondritis with degeneration and necrosis of the pinnal cartilage. Numerous mast cells were also observed within and surrounding the inflammatory lesion. Read More

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

Skeletal Radiol 2019 Aug 26;48(8):1305-1309. Epub 2019 Jan 26.

Department of Radiology and Medical Imaging, Cliniques Universitaires Saint-Luc, Institut de Recherche Expérimentale et Clinique (IREC), Université Catholique de Louvain (UCLouvain), Avenue Hippocrate 10/2942, 1200, Brussels, Belgium.

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. Read More

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CT-guided percutaneous cryoablation of an osteoid osteoma of the rib.

Radiol Case Rep 2019 Mar 4;14(3):400-404. Epub 2019 Jan 4.

Creighton University School of Medicine, Phoenix Regional Campus, St. Joseph's Hospital & Medical Center, 350 West Thomas Road, Phoenix, AZ 85013, USA.

An osteoid osteoma is a benign bone tumor that arises from osteoblastic dysfunction and usually presents as nonspecific, nocturnal pain located in the diaphysis of long bones, with <1% occurring in the ribs. It is most commonly treated with nonsteroidal anti-inflammatory drugs or merely observed; when these treatments do no prove efficacious, either open surgery or interventional ablation are pursued. Herein, we report a rare case of an osteoid osteoma located in the rib of a 19-year-old male that was histologically diagnosed through computed tomography (CT)-guided biopsy. Read More

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Ultrasound-Guided Corticosteroid Injection in a Patient With Tietze Syndrome Combined With Costochondral Joint Swelling.

Am J Phys Med Rehabil 2019 07;98(7):e71-e73

From the Department of Rehabilitation Medicine, Daegu Fatima Hospital, Daegu, South Korea.

Tietze syndrome is an uncommon disease of unknown etiology that manifests as pain and tenderness of the parasternal joints. To date, however, there has been no report on ultrasonographic findings concerning swelling of the costochondral joint in Tietze syndrome. Moreover, there has been no research investigating images of ultrasound-guided corticosteroid injection, although corticosteroid injection is one of the most important treatments for Tietze syndrome. Read More

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What do we know about Tietze's syndrome?

Kardiochir Torakochirurgia Pol 2018 Sep 24;15(3):180-182. Epub 2018 Sep 24.

Department and Clinic of Thoracic Surgery in Zabrze, Medical University of Silesia in Katowice, Poland.

Tietze's syndrome is a benign, self-limiting arthropathy, without purulent character. The disease most often involves articulations: sternocostal, sternoclavicular, or costochondral joints. The characteristic symptoms are tenderness, pain and edema involving one of the aforementioned joints on one side. Read More

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September 2018

Diagnostic value of fluorine-18 deoxyglucose positron emission tomography/computed tomography in deep sternal wound infection.

J Plast Reconstr Aesthet Surg 2018 Dec 2;71(12):1768-1776. Epub 2018 Aug 2.

Department of Plastic and Reconstructive Surgery, Zhong-shan Hospital, 180 Fenglin Road, Xuhui District, Shanghai, China. Electronic address:

Objectives: Deep sternal wound infection (DSWI) is a refractory complication after heart surgery, and debridement is the first-line treatment. The accurate identification of the extent of the infection is the key to successful debridement. The present study assessed the diagnostic accuracy of fluorine-18 deoxyglucose (F-FDG) positron emission tomography/computed tomography (PET/CT) for identifying the infected area of DSWI. Read More

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December 2018

18F-FDG PET/CT and Bone Scintigraphy Findings in Tietze Syndrome.

Clin Nucl Med 2018 Nov;43(11):832-834

Thoracic and Cardiovascular Surgery, Soonchunhyang University Hospital, Seoul, Republic of Korea.

We present an interesting image of a 62-year-old woman revealed with Tietze syndrome by F-FDG PET/CT and bone scintigraphy. She presented with right upper chest wall pain with a hard, palpable mass. However, chest radiograph and CT were unrevealing. Read More

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November 2018

Pan-Costochondritis Caused by Aspergillus Diagnosed by 18F-FDG PET/CT.

Clin Nucl Med 2018 Oct;43(10):e381-e382

From the Hospital Universitario y Politécnico La Fe, Valencia, Spain.

Thoracic pain is an entity that can be difficult to diagnose etiologically. Once the cardiac origin has been ruled out, the rheumatologic, neoplastic, and infectious causes have to be taken into account. We present the case of a patient with atypical chest pain after triple-bypass surgery in whom F-FDG PET/CT scan showed an important uptake of the radiopharmaceutical in costal cartilages, in relation to pan-costochondritis due to Aspergillus. Read More

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October 2018