495 results match your criteria Costochondritis

A rare case of pseudoaneurysmal hemorrhage, necrotizing fasciitis, and costochondritis after pancreaticoduodenectomy.

Surg Case Rep 2022 Apr 24;8(1):74. Epub 2022 Apr 24.

Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, The Jikei University School of Medicine, 3-25-8 Nishishimbashi, Minato-ku, Tokyo, Japan.

Background: Necrotizing fasciitis after pancreaticoduodenectomy (PD) has never been reported. We experienced a case of necrotizing fasciitis caused by pseudoaneurysmal hemorrhage after PD.

Case Presentation: A 72-year-old male was diagnosed with cholangiocarcinoma and underwent PD. Read More

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Osteomyelitis of the Rib in a Child With Indolent Symptoms.

Glob Pediatr Health 2022 5;9:2333794X221086583. Epub 2022 Apr 5.

University of Arkansas for Medical Sciences, Little Rock, AR, USA.

We describe a case of osteomyelitis of the rib caused by methicillin-susceptible . The patient presented with a subtle, indolent course leading to a suspected 2-year delay in diagnosis. This case highlights that the diagnosis of rib osteomyelitis, which can readily mimic other diagnoses, such as costochondritis, intraabdominal infections, pneumonia, or malignancies warrants a high index of suspicion. Read More

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Tietze's Syndrome Presenting as Enthesitis Diagnosed by Ultrasound: A Case Report.

Mod Rheumatol Case Rep 2022 Mar 14. Epub 2022 Mar 14.

Department of Rheumatology, Kita-Harima Medical Center, Hyogo, Japan.

Background: Tietze's syndrome (TS) is an inflammatory disorder characterized by painful, non-suppurative swelling in the sternocostal or sternoclavicular joint. The etiology of TS is unknown. Herein, we described a case of isolated enthesitis in the sternocostal joint in a 42-year-old, male patient whose clinical course led to the diagnosis of TS. Read More

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Severe post-COVID-19 costochondritis in children.

Proc (Bayl Univ Med Cent) 2022 27;35(1):56-57. Epub 2021 Sep 27.

Department of Pediatrics, University Medical Center Health System, Lubbock, Texas.

Although children comprise the fewest cases of COVID-19 infection, symptoms, and complications among the various age groups affected, new long-term consequences are being reported. Here, we report a case of severe costochondritis unresponsive to traditional management in a child who had COVID-19 infection a few months earlier. To our knowledge, this is the first reported case of post-COVID-19 costochondritis (PCC) that has been successfully managed with colchicine. Read More

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September 2021

Staphylococcus aureus costochondritis and chest wall abscess in a COVID-19 patient treated with tocilizumab.

Turk J Phys Med Rehabil 2021 Sep 1;67(3):382-385. Epub 2021 Sep 1.

Department of Infectious Diseaes, Marmara University School of Medicine, Istanbul, Turkey.

Coronavirus disease 2019 (COVID-19) is a worldwide pandemic, causing a global health threat. Up to 15% of the confirmed cases develop severe disease, requiring hospitalization or intensive care unit (ICU) admission. Tocilizumab, an IL-6 receptor antagonist, is a promising treatment of severe pneumonia with acute respiratory distress syndrome (ARDS) or cytokine release syndrome (CRS) in the course of COVID-19. Read More

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September 2021

Respiratory manifestations in the Ehlers-Danlos syndromes.

Am J Med Genet C Semin Med Genet 2021 12 22;187(4):533-548. Epub 2021 Nov 22.

Department of Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis, Indiana, USA.

Persons with the Ehlers-Danlos syndromes (EDS) report a wide range of respiratory symptoms, most commonly shortness of breath, exercise limitation, and cough. Also reported are noisy breathing attributed to asthma, difficulty with deep inhalation, and inspiratory thoracic pain. The literature consists of case reports and small cross-sectional and cohort studies. Read More

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December 2021

ACR Appropriateness Criteria® Nontraumatic Chest Wall Pain.

J Am Coll Radiol 2021 11;18(11S):S394-S405

Specialty Chair, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

Chest pain is a common reason that patients may present for evaluation in both ambulatory and emergency department settings, and is often of musculoskeletal origin in the former. Chest wall syndrome collectively describes the various entities that can contribute to chest wall pain of musculoskeletal origin and may affect any chest wall structure. Various imaging modalities may be employed for the diagnosis of nontraumatic chest wall conditions, each with variable utility depending on the clinical scenario. Read More

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November 2021

Staged Chest Wall Reconstruction for Radiation-induced Costochondritis.

Plast Reconstr Surg Glob Open 2021 Aug 5;9(8):e3718. Epub 2021 Aug 5.

Department of Plastic and Reconstructive Surgery, College of Medicine, Kosin University, Seo-gu, Busan, South Korea.

Costochondritis after breast reconstruction and radiation therapy is rarely reported. Moreover, it is difficult to diagnose using computed tomography and magnetic resonance imaging; as such, wound debridement and reconstruction must be performed in several stages. A 51-year-old woman was diagnosed with invasive cancer of the right breast, and she underwent nipple sparing mastectomy and direct-to-implant breast reconstruction in November 2007. Read More

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Cardiac tamponade secondary to Dressler's syndrome.

BMJ Case Rep 2021 Aug 11;14(8). Epub 2021 Aug 11.

Department of Cardiology, Royal Gwent Hospital, Newport, UK.

A 56-year-old woman presented to hospital with chest pain. Following review and investigations in the medical assessment unit, she was diagnosed with costochondritis and discharged home. She represented 10 days later and was mottled and hypotensive with a high lactate, raised inflammatory markers, an acute kidney injury and bilateral loin pain. Read More

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Slipping rib syndrome: A clinical and dynamic-sonographic entity. A serial cases report.

J Back Musculoskelet Rehabil 2022 ;35(2):253-259

Consell Català de l'Esport (Catalan Sports Council), Generalitat de l'Esport, Clínica Diagonal, Barcelona, Spain.

Background: Slipping rib syndrome (SRS) consists of false or floating rib hypermobility, which can force the ribs to come into contact with each other.

Objective: We aimed to examine each case by dynamic ultrasound to determine their ultrasound characteristics and analyze the clinical features of patients with SRS in order to better manage and follow them up.

Methods: Retrospectively, we collected 14 case series presenting to SRS between June 2016 and September 2018. Read More

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Association of Diabetes With Lower Back Pain: A Narrative Review.

Cureus 2021 Jun 20;13(6):e15776. Epub 2021 Jun 20.

Department of Medicine, Karachi Medical and Dental College, Karachi, PAK.

Diabetes mellitus with its increasing prevalence is one of the four major non-communicable diseases. It is characterized by hyperglycemia, which may progress to chronic complications such as peripheral vascular disease and neuropathy. This paper highlights the pathophysiology associated with diabetes, which is restricted to not only hyperglycemia but also other comorbidities including chronic lower back pain. Read More

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Costochondritis: Rapid Evidence Review.

Am Fam Physician 2021 07;104(1):73-78

South Baldwin Regional Medical Center Family Medicine Residency Program, Foley, AL, USA.

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Acupuncture appears to be a rapidly effective treatment for costochondritis.

Acupunct Med 2022 02 7;40(1):99-100. Epub 2021 Jul 7.

Rheumatology Department, Edgware Community Hospital, Royal Free Hampstead NHS Trust, London, UK.

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February 2022

Atypical Costochondritis: Complete Resolution of Symptoms After Rib Manipulation and Soft Tissue Mobilization.

Cureus 2021 Apr 8;13(4):e14369. Epub 2021 Apr 8.

Pain Management-Physiotherapy, Tripler Army Medical Center, Honolulu, USA.

Costochondritis is a self-limiting, poorly described, and benign condition that usually manifests as non-cardiac chest pain. The symptoms usually tend to resolve in a couple of weeks. Serious causes of chest pain should be ruled out prior to diagnosing costochondritis, as it is often a diagnosis of exclusion. Read More

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

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.

Arthritis Rheumatol 2021 10 31;73(10):1886-1895. Epub 2021 Aug 31.

National Heart, Lung, and Blood Institute, NIH, Bethesda, Maryland.

Objective: Somatic mutations in UBA1 cause a newly defined syndrome known as VEXAS (vacuoles, E1 enzyme, X-linked, autoinflammatory, somatic syndrome). More than 50% of patients currently identified as having VEXAS met diagnostic criteria for relapsing polychondritis (RP), but clinical features that characterize VEXAS within a cohort of patients with RP have not been defined. We undertook this study to define the prevalence of somatic mutations in UBA1 in patients with RP and to create an algorithm to identify patients with genetically confirmed VEXAS among those with RP. Read More

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October 2021

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

Pediatr Phys Ther 2021 04;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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A Comprehensive Review of Slipping Rib Syndrome: Treatment and Management.

Psychopharmacol Bull 2020 10;50(4 Suppl 1):189-196

Gress, BS, Charipova, BS, Georgetown University School of Medicine, Washington, DC. Kassem, MD, Schwartz, DO, Mount Sinai Medical Center, Department of Anesthesiology, Miami Beach, FL. Berger, MD, PhD, Hasoon, MD, Beth Israel Deaconess Medical Center, Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Boston, MA. Urits, MD, Department of Anesthesiology, Louisiana State University School of Medicine, Shreveport, LA; Beth Israel Deaconess Medical Center, Department of Anesthesiology, Critical Care and Pain Medicine, Harvard Medical School, Boston, MA. Cornett, PhD, Department of Anesthesiology, Louisiana State University School of Medicine, Shreveport, LA. Kaye, MD, PhD, Departments of Anesthesiology and Pharmacology, Toxicology and Neurosciences, Louisiana State University School of Medicine, Shreveport, LA. Viswanath, MD, Department of Anesthesiology, Louisiana State University School of Medicine, Shreveport, LA; Valley Pain Consultants - Envision Physician Services, Phoenix, AZ; University of Arizona College of Medicine-Phoenix, Department of Anesthesiology, Phoenix, AZ; Creighton University School of Medicine, Department of Anesthesiology, Omaha, NE.

Purpose Of Review: This is a comprehensive review and update on advances in the understanding and treatment of slipping rib syndrome. It covers the physiology and pathophysiology at the basis of the syndrome, epidemiology and clinical presentation as well as diagnosis. It goes on to review the available literature to provide description and comparison of the available methods for alleviation. Read More

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October 2020

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 Nov 14;29(9):960-963. 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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November 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