Salmonella Osteomyelitis of the Proximal Tibia in a Previously Healthy Adolescent: A Case Report

Vynichakis, Georgios; Chandrinos, Michail; Angelis, Stavros; Bogris, Elefterios; Michelarakis, John

doi:10.7759/cureus.5672

Cited by 7 publications

(14 citation statements)

References 7 publications

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“…14 There have been case reports of invasive disease with osteomyelitis due to other nontyphoid Salmonella species. 6,11 However, to our knowledge, this is the first report of serovar S. Poona as an etiology of osteomyelitis. This case report of osteomyelitis in a healthy young woman, along with reports of S. Poona bacteremia in otherwise healthy individuals, may suggest enhanced virulence of S. Poona, even in patients without traditional risk factors like sickle cell disease.…”

Section: Discussionmentioning

confidence: 76%

“…Salmonella species are rare causative organisms of osteomyelitis, responsible for only 0.45% of all cases, and are both clinically and radiologically indistinguishable from osteomyelitis caused by other organisms. 10,11 Patients with hemoglobinopathies are believed to be predisposed to infection with Salmonella species due to repetitive vaso-occlusive crises causing devitalization of gut and bone, red cell breakdown products of chronic hemolysis saturating the macrophage system, and underlying splenic and hepatic dysfunction. 9,12 Risk factors for Salmonella infections include food-borne exposures and handling of reptiles or live poultry.…”

Section: Discussionmentioning

confidence: 99%

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Vertebral osteomyelitis due to Salmonella Poona in a healthy adolescent female

Toofan

Tarun

Bender

et al. 2020

SAGE Open Medical Case Reports

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We present a case of vertebral osteomyelitis in a previously healthy, adolescent Caucasian female athlete. After months of lower back pain, spinal imaging demonstrated phlegmon and suspected osteomyelitis of the L4 vertebral body. A bone biopsy was obtained, and microbiologic cultures yielded pure growth of Salmonella enterica subsp. enterica serovar Poona ( S. Poona), a member of the nontyphoid Salmonella group associated with food-borne gastroenteritis in the United States. This case represents the first reported association of S. Poona with osteomyelitis and is interesting in that the infection developed in a patient without traditional risk factors for invasive Salmonella disease (i.e. sickle cell disease). This case highlights the importance of keeping a broad differential diagnosis for lower back pain and emphasizes the value of obtaining specimens for microbiologic culture to aid in diagnosing non-traditional and potentially emerging bacterial pathogens.

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Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Vertebral osteomyelitis due to Salmonella Poona in a healthy adolescent female

Toofan

Tarun

Bender

et al. 2020

SAGE Open Medical Case Reports

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“…Multifocal osteomyelitis was uncommon, with 5/42 (12%) of cases [18]. Others report that 0.45%-2% of osteomyelitis in pediatric patients is caused by Salmonella species [5,10]. This patient's cultured organism from surgical specimen was serotyped as Salmonella Enteritidis IV, which is among the top 100 most commonly isolated serotypes in the United States, though fairly uncommon in the patient's home state, Arizona.…”

Section: Discussionmentioning

confidence: 96%

A Rare Case of Salmonella Osteomyelitis in Immunocompetent Toddler Without Risk Factors

Daggett¹,

Heston²,

Anderson³

et al. 2022

Cureus

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Salmonella infections are common, though rarely cause disseminated or severe disease in immunocompetent children. We present a case of severe salmonella osteomyelitis and epidural abscess in a patient without significant risk factors. This patient presented over the course of multiple visits with nonspecific symptoms of fever, malaise, and eventual joint pain. As symptoms progressed, the workup was broadened to find the eventual source of infection.

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“…Salmonella osteomyelitis is common in the metaphysis and diaphysis. Rarely, it can cause osteomyelitis in the vertebrae and pelvis [5,6].…”

Section: Introductionmentioning

confidence: 99%

Salmonella Osteomyelitis and Septic Arthritis in Children

Zacharia

Poulosse

Xavier

et al. 2022

MRAJ

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Salmonella infections of the bone and joints are very rare. They are common in hemoglobinopathies and immunocompromised children. The diaphysis and metaphysis of the long bones are common sites. The spine pelvis, ribs, and cranium are rare sites. The clinical course is indolent compared to acute osteomyelitis. Serological tests and culture can be used for the diagnosis. Radiographs are frequently negative early in the disease. CT scans and MRI scans can be used in certain cases. The majority of cases can be managed with antibiotics. In this review, we describe the etiology, clinical features, investigations, and management of Salmonella bone and joint infections. We have described the features of Salmonella bone and joint infections in normal and sickle disease patients. We also present an illustrative case of Salmonella septic arthritis of the shoulder in an immunocompetent infant one month after COVID-19 infection.

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Salmonella Osteomyelitis of the Proximal Tibia in a Previously Healthy Adolescent: A Case Report

Cited by 7 publications

References 7 publications

Vertebral osteomyelitis due to Salmonella Poona in a healthy adolescent female

Vertebral osteomyelitis due to Salmonella Poona in a healthy adolescent female

A Rare Case of Salmonella Osteomyelitis in Immunocompetent Toddler Without Risk Factors

Salmonella Osteomyelitis and Septic Arthritis in Children

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