Α 12-year-old boy was admitted to a pediatric hospital with acute pain in the right clavicle and high fever for four days. Two episodes of vomiting and one episode of diarrhea were reported during admission. Clinical examination revealed mild swelling, redness, and intense pain upon pressure on the sternal end of the right clavicle, which extended to the supraclavicular fossa and caused torticollis. Laboratory Findings: WBC - 9770/μL (neu 81.6%, lymph 12.1%) PLT - 162,000/μL Hb - 14.8 g/dL Hct - 43.1% CRP - 8.5 mg/dL.
An X-ray of the clavicle was unremarkable. A CT scan showed widening of the sternoclavicular joint with swelling of the muscular tissue in the ipsilateral area and MRI showed an abnormal signal in the right clavicle with periosteal reaction (Images attached). What is the probable diagnosis and treatment in this case? *This case is from Docplexus Editorial Team for…
