Case Report
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Transplant. Jun 24, 2016; 6(2): 442-446
Published online Jun 24, 2016. doi: 10.5500/wjt.v6.i2.442
Acute bacterial sternoclavicular osteomyelitis in a long-term renal transplant recipient
Evangelia Dounousi, Anila Duni, Sofia Xiromeriti, Charalambos Pappas, Kostas C Siamopoulos
Evangelia Dounousi, Anila Duni, Sofia Xiromeriti, Charalambos Pappas, Kostas C Siamopoulos, Nephrology Department, University Hospital of Ioannina, 45110 Ioannina, Greece
Author contributions: All authors contributed to the acquisition of data, writing, and revision of this manuscript.
Institutional review board statement: This case report was exempt from the Institutional Scientific Committee standards at University Hospital of Ioannina, Ioannina, Greece.
Informed consent statement: The patient involved in this study gave his written informed consent authorizing use and disclosure of his protected health information.
Conflict-of-interest statement: The authors have no conflict of interest to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Evangelia Dounousi, MD, Lecturer in Nephrology, Nephrology Department, University Hospital of Ioannina, Stavros Niarchou Avenue, 45110 Ioannina, Greece. evangeldou@gmail.com
Telephone: +30-26-51099653 Fax: +30-26-51099890
Received: March 29, 2016
Peer-review started: March 29, 2016
First decision: April 15, 2016
Revised: May 2, 2016
Accepted: May 17, 2016
Article in press: May 27, 2016
Published online: June 24, 2016
Processing time: 85 Days and 10.3 Hours
Core Tip

Core tip: Although immunosuppression therapy improves kidney allograft and patient’s survival, it is a major risk factor for infection following kidney transplantation, altering the clinical manifestations of the infectious diseases and complicating both the diagnosis and management of renal transplant recipients (RTRs). Existing literature regarding osteomyelitis in RTRs is very limited while sternoclavicular osteomyelitis is a rare entity presenting with its own unique set of risk factors and complications. Infections caused by unconventional pathogens with unconventional infection sites are being increasingly diagnosed in RTRs and the physician should always remain alert when dealing with these patients.