Salmonella diskitis in a 2-year old immunocompetent child

Galia Barkai1, Eugene Leibovitz, Alexander Smolnikov

  • 1Paediatric Infectious Disease Unit, Ben Gurion University of the Negev, Soroka University Medical Center, Beer-Sheva, Israel. bgalia@bgu.ac.il

Insights

Pediatric spine infections are rare, with Staphylococcus aureus being the most common cause. This case highlights a rare instance of Salmonella group C1 discitis in a healthy 2-year-old, emphasizing the need for broader diagnostic considerations.

Area of Science:

  • Pediatric infectious diseases
  • Spinal infections
  • Microbiology

Background:

  • Spine infections in children are infrequent and typically caused by Staphylococcus aureus.
  • Salmonella species are an uncommon etiology of pediatric spinal infections, predominantly seen in patients with sickle-cell disease.

Observation:

  • A case of group C1 Salmonella discitis occurred in a previously healthy 2-year-old child.
  • The patient did not have underlying conditions like sickle-cell anemia.

Findings:

  • Group C1 Salmonella can cause discitis in otherwise healthy pediatric patients.
  • This presentation is rare and expands the known spectrum of Salmonella-related spinal infections.

Implications:

  • Clinicians should consider Salmonella species in the differential diagnosis of pediatric discitis, even in healthy children.
  • Further research may elucidate specific risk factors or pathways for Salmonella spinal infections in non-high-risk populations.

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