Conservative Management of Streptococcus pyogenes Sternoclavicular Septic Arthritis

We present a case of sternoclavicular septic arthritis (SCSA) in a 50-year-old female who presented to the emergency room with abdominal pain and vomiting after a bout of pharyngitis. Subsequent SCSA was diagnosed and treated with antibiotics. Strep pharyngitis could be a risk factor for SCSA in healthy patients, and conservative management may be adequate in treating strep A SCSA, depending on the patient’s risk factors and presentation. Our report reveals the necessity for establishing meaningful measures in staging and management to minimize risks of unnecessary harm.