Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Escherichia coli Sternoclavicular Septic Arthritis Secondary to Colon Cancer-associated Bacteremia: A Case Report
Takashi YamaneChiharu Miyamoto
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JOURNAL OPEN ACCESS Advance online publication

Article ID: 5418-25

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Abstract

Non-traumatic sternoclavicular arthritis is typically caused by either degeneration or non-infectious inflammatory conditions, although septic arthritis can often occur due to Staphylococcus aureus, particularly in immunocompromised individuals.

We herein present a case of Escherichia coli (E.coli)-induced sternoclavicular arthritis in a Japanese woman with no underlying disease. As no common source of E. coli bacteremia was identified, colonoscopy revealed early-stage rectal cancer.

To our knowledge, this is the first report of septic sternoclavicular arthritis in which colorectal cancer was identified as the source of infection.

Clinicians should consider colorectal cancer when septic arthritis caused by gut bacteria is diagnosed without a clear source.

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© 2025 by The Japanese Society of Internal Medicine

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