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Salmonella Osteomyelitis Of Ribs
Imran Khan1, Ahmad Jawad Mufti1, Mah Muneer Khan1
1Department of Surgery, Khyber Teaching Hospital, Peshawar, Pakistan.
Journal of Ayub Medical College, Abbottabad : JAMC
|January 12, 2019
Summary
A diabetic farmer developed a chest wound infection. Salmonella Typhi was identified as the cause, leading to effective antibiotic treatment and recovery.
Area of Science:
- Infectious Diseases
- Bacteriology
- Skeletal Infections
Background:
- Osteomyelitis is a serious bone infection.
- Diabetes mellitus is a common comorbidity that can complicate infections.
- Prompt diagnosis and targeted treatment are crucial for favorable outcomes.
Observation:
- A 45-year-old diabetic male farmer presented with a chronic chest wall wound and suspected bone involvement.
- Imaging revealed a lytic bone lesion at the 8th rib costo-chondral junction.
- Initial antibiotic treatment was ineffective, and wound discharge persisted.
Findings:
- Bone biopsy showed inflammatory non-caseating tissue.
- Culture identified Salmonella Typhi, resistant to ciprofloxacin.
- The patient's hyperglycemia and elevated alkaline phosphatase indicated metabolic derangement.
Implications:
- This case highlights Salmonella Typhi as a rare cause of osteomyelitis in immunocompromised individuals.
- Effective management requires accurate pathogen identification and antibiotic susceptibility testing.
- Controlling hyperglycemia is essential for successful treatment of such infections.
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