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Typhoid Osteomyelitis: Report of a Case.

P R Chari1, H R Choudary1, K P Dutt1

  • 1Department of Orthopaedics and Department of Microbiology, Rangaraya Medical College, Kakinada, India.

The Australian and New Zealand Journal of Surgery
|December 22, 2017
PubMed
Summary

This case report details typhoid osteomyelitis affecting the radius and ulna bones, confirmed through surgical tissue analysis. It highlights a rare presentation of bone infection caused by Salmonella Typhi.

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Area of Science:

  • Orthopedic Surgery
  • Infectious Diseases
  • Microbiology

Background:

  • Typhoid osteomyelitis is an uncommon complication of Salmonella Typhi infection.
  • Bone involvement typically occurs in long bones, often with characteristic diaphyseal patterns.

Purpose of the Study:

  • To report a rare case of typhoid osteomyelitis.
  • To describe the specific bone involvement and microbiological findings.
  • To review the existing literature on this condition.

Main Methods:

  • Surgical excision of infected bone tissue.
  • Microbiological culture and identification of Salmonella Typhi from surgical specimens.
  • Comprehensive review of relevant medical literature.

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Main Results:

  • The patient presented with typhoid osteomyelitis involving the right radius and left ulna.
  • Characteristic diaphyseal involvement and sequestrum formation were observed.
  • Microbiological confirmation of Salmonella Typhi was obtained from operative tissues.

Conclusions:

  • Typhoid osteomyelitis is a rare but significant bone infection.
  • Early diagnosis and appropriate surgical and antimicrobial treatment are crucial.
  • This case adds to the understanding of Salmonella Typhi bone infections.