Salmonella osteomyelitis presenting as "hand-foot syndrome" in sickle-cell disease.

Hematogenous Osteoarticular Infections of the Hand and the Wrist in Children With Sickle Cell Anemia

“…13,16 Candida was identified in 1 case in our series. [13][14][15]18,20,21 In contrast, for children without sickle cell disease, the most common location was the wrist (distal ulna or distal radius), which is a rare location (4%). Postoperatively parenteral antibiotic therapy with cephotaxim was continued for 6 weeks.…”

“…Postoperatively parenteral antibiotic therapy with cephotaxim was continued for 6 weeks. 19,20,23 Children with sickle cell disease present often multifocal localizations. The pathogen responsible was Candida that could be explained by this immune deficiency.…”