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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
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.
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.
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.