The present report describes a case involving a 57-year-old HIV-positive man who presented with acute retrosternal chest pain accompanied by 24 h of fever. Septic arthritis of the manubriosternal joint was diagnosed based on magnetic resonance imaging findings in addition to Staphylococcus aureus bacteremia. To the authors’ knowledge, the present case is only the 12th reported case of manubriosternal septic arthritis, and the first in an HIV-positive patient. Early diagnosis and treatment can circumvent the need for surgical intervention. Based on the present case report and review of the literature, the authors summarize the epidemiology, appropriate imaging and suggestions for antibiotic therapy for this rare presentation.

中文翻译：

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非典型胸痛的非典型原因。

本报告描述了一个案例，涉及一名 57 岁的 HIV 阳性男性，他出现急性胸骨后胸痛并伴有 24 小时的发热。除了金黄色葡萄球菌菌血症外，还根据磁共振成像结果诊断出手骨关节的化脓性关节炎。据作者所知，本病例只是第 12 例报告的手骨胸骨化脓性关节炎病例，也是 HIV 阳性患者中的第一例。早期诊断和治疗可以避免手术干预。基于目前的病例报告和文献回顾，作者总结了这一罕见表现的流行病学、适当的影像学和抗生素治疗建议。