Septic arthritis of the hip caused bySalmonella typhi

Abstract

We describe septic arthritis of the hip in a child with typhoid fever. The aetiological diagnosis was confirmed by a positive Widal test as well as by isolation of Salmonella typhi from joint aspirate. Treatment with ceftriaxone along with surgical drainage was successful.

Unusual clinical presentation of bone and joint infections caused by Salmonella typhi

“…In children with septic arthritis, the knee is the most commonly affected joint followed by hip and shoulder [12]. Only two cases of septic arthritis, caused by S. typhi and involving the hip have been reported earlier, one from Taiwan [13] and the other from our own institution [14]. Many of the cases remain unreported, as they are often misdiagnosed as tubercular as happened in our own case.…”

Septic arthritis of the hip in a Cambodian child caused by multidrug-resistantSalmonella entericaserovar Typhi with intermediate susceptibility to ciprofloxacin treated with ceftriaxone and azithromycin

“…Details relating to identified cases of confirmed paediatric S. typhi septic arthritis (not including sacro-iliitis) are shown in Table 1. [2][3][4][5][6][7] Nine cases involving the hip have been described in children, 2,4,5-7 three in the knee 2,7 and one in the elbow. 3 In the majority of cases, the children were healthy with no predisposing or concurrent conditions, and the infection was caused by relatively susceptible organisms (fully susceptible or resistant to ampicillin/nalidixic acid), with only one reported case of multidrug-resistant S. typhi (resistant to chloramphenicol, co-trimoxazole and ampicillin) in an Indian child.…”

Septic Arthritis of Hip in a Neutropenic Child Caused by Salmonella typhi

“…Extraintestinal infections due to these organisms are less frequently encountered, but if they are, most of them occur in immunocompromised adults. [2][3][4][5][6] There have been more than 100 case reports of Salmonella causing arthritis in both children and adults (Table 1) (Table 1). However, many children had no underlying predisposition, [3][4][5][6][7][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29] suggesting that Salmonella is capable of causing arthritis on its virulence only.…”