Atypical osteomyelitis and concurrent septic arthritis due to Salmonella in immunocompetent children
- Resource Type
- Authors
- Satish Kumar; Nithya Ponmudi; John A. J. Prakash; Balasubramaniam Balakumar; Sangeet Gangadharan; Thomas Palocaren
- Source
- Journal of Clinical Orthopaedics and Trauma. 8:293-297
- Subject
- 0301 basic medicine
Salmonella osteomyelitis
Salmonella
medicine.medical_specialty
business.industry
Osteomyelitis
030106 microbiology
Disease
bacterial infections and mycoses
medicine.disease_cause
medicine.disease
Salmonella typhi
03 medical and health sciences
0302 clinical medicine
Full Length Article
Internal medicine
Immunology
Medicine
Orthopedics and Sports Medicine
Septic arthritis
030212 general & internal medicine
business
- Language
- ISSN
- 0976-5662
Objective Salmonella osteomyelitis in immunocompromised individuals with sickle cell anaemia is well documented. Its occurrence in immunocompetent children is rare. Methods All pus culture positive cases of salmonella typhi between the period 2009 to 2014 were reviewed and only those children without sickle cell disease or trait were considered further. Results Eighty five patients had positive cultures. Of these only three children had culture positive Salmonella septic arthritis in the absence of sickle cell disease. Two children had shoulder septic arthritis while one had hip septic arthritis. Conclusion Our case series highlights the possibility of salmonella typhi osteomyelitis in immunocompetent individuals. Clinicians should be aware of this presentation which is usually delayed due to the atypical organism and lack of clinical response in the initial stages, as disastrous sequelae of septic arthritis may result if prompt treatment is not initiated in time.