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Salmonella typhi rib osteomyelitis with abscess mimicking a 'cold abscess'
Alice Mathuram1, Rianne Van Rijn, George M Varghese
1Department of Medicine and Infectious Diseases, Christian Medical College, Vellore, Tamil Nadu, India.
Journal of Global Infectious Diseases
|July 16, 2013
Summary
Salmonella typhi can cause rare rib osteomyelitis and abscess in immunocompetent individuals. This case highlights a challenging diagnosis and effective treatment of this extra-intestinal manifestation.
Area of Science:
- Infectious Diseases
- Orthopedics
- Microbiology
Background:
- Typhoid fever, caused by Salmonella enterica serovar typhi, is prevalent globally, especially in developing nations.
- Extra-intestinal manifestations of Salmonella typhi infections are infrequent in immunocompetent hosts.
- Osteomyelitis, a bone infection, is a rare but serious complication.
Observation:
- A case of Salmonella typhi osteomyelitis affecting a rib is presented.
- The infection presented with an overlying abscess, clinically resembling a 'cold abscess'.
- This presentation posed a diagnostic challenge due to its rarity and atypical appearance.
Findings:
- The study details the diagnosis and management of Salmonella typhi rib osteomyelitis.
- Treatment outcomes for this rare presentation were evaluated.
- Relevant literature on Salmonella typhi osteomyelitis was reviewed and discussed.
Implications:
- This case expands the understanding of Salmonella typhi's potential to cause rare extra-intestinal infections.
- It emphasizes the importance of considering Salmonella typhi in the differential diagnosis of unusual bone abscesses.
- Effective management strategies for such rare presentations are crucial for patient recovery.
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