January 1983

Osteomyelitis of the Clavicle After Swan-Ganz Catheterization

Author Affiliations

From the Department of Medicine (Dr Hunter), and the Sections of Cardiology (Dr Moran) and Infectious Disease (Dr Venezio), Loyola University Medical Center, 2160 S First Ave, Maywood, Ill.

Arch Intern Med. 1983;143(1):153-154. doi:10.1001/archinte.1983.00350010163030

• Osteomyelitis of the clavicle is an uncommon complication of Swan-Ganz catheterization. The diagnosis should be suspected when the clinical features of fever and sternoclavicular pain are present. Traditional roentgenograms may be falsely normal early in the disease. Radioactive isotope scanning may be helpful in establishing the diagnosis sooner, followed by tomography or computed tomography to better define the abnormality. Therapy should include long-term parenteral antibiotics and possible surgical removal.

(Arch Intern Med 1983;143:153-154)