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Salmonella paratyphi C osteomyelitis: report of two separate episodes 17 years apart
1Infectious Diseases Unit, Meir Hospital, Kfar-Saba, Israel.
Scandinavian Journal of Infectious Diseases
|January 1, 1992
Abstract:
Osteomyelitis secondary to salmonella infection is well documented in the literature. Infection in more than one focus has also been described. To the best of our knowledge this is the first report of recurrent osteomyelitis in a normal host (a 35-year-old man) with the same organism (S. paratyphi C) in different sites 17 years apart.
Insights
Recurrent Salmonella paratyphi C osteomyelitis is rare, especially in healthy individuals. This case highlights a unique instance of the same infection recurring in different bone sites 17 years later.
Area of Science:
- Infectious Diseases
- Orthopedic Surgery
- Microbiology
Background:
- Osteomyelitis, a bone infection, can be caused by Salmonella species.
- Multiple infection sites and recurrent osteomyelitis are known complications, though uncommon.
Observation:
- A 35-year-old immunocompetent male presented with recurrent osteomyelitis.
- The causative agent was identified as Salmonella paratyphi C.
Findings:
- This is the first reported case of recurrent osteomyelitis caused by Salmonella paratyphi C in a healthy host.
- The infection recurred in distinct bone locations 17 years after the initial episode.
Implications:
- This case expands the understanding of Salmonella osteomyelitis's potential for late recurrence in immunocompetent individuals.
- It underscores the importance of considering Salmonella species in the differential diagnosis of recurrent bone infections.
- Further research may be warranted to explore the mechanisms behind such prolonged and distant recurrences.