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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
Summary
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.