Salmonella paratyphi osteomyelitis and psoas abscess

Paul Navin1, David S Thambu, R Venugopal

  • 1Department of General Medicine Unit 2 and Rheumatology, Christian Medical College and Hospital, Vellore, S India.

Tropical Doctor
|February 18, 2006
PubMed

Insights

Salmonella paratyphi A can cause rare bone and joint infections, including osteomyelitis. This case highlights a unique instance of S. paratyphi A leading to both osteomyelitis and a psoas abscess.

Area of Science:

  • Infectious Diseases
  • Orthopedics
  • Microbiology

Background:

  • Bone and joint infections from Salmonella species are rare, representing less than 1% of all Salmonella infections.
  • Salmonella typhi is the most common Salmonella serotype implicated in these infections.
  • Joint infections caused by Salmonella paratyphi are infrequently reported in medical literature.

Observation:

  • A rare case of osteomyelitis caused by Salmonella paratyphi A was identified.
  • The patient also presented with a psoas abscess, a complication not previously documented in association with S. paratyphi A.

Findings:

  • This report details a unique case of Salmonella paratyphi A osteomyelitis.
  • The co-occurrence of a psoas abscess with S. paratyphi A osteomyelitis is described for the first time.

Implications:

  • This case expands the known clinical spectrum of Salmonella paratyphi A infections.
  • Highlights the importance of considering Salmonella paratyphi A in the differential diagnosis of bone and joint infections, particularly with unusual presentations like psoas abscess.
  • Contributes to the limited literature on S. paratyphi joint infections, emphasizing the need for further research.

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