Author:
Sakamoto Akio,Chigusa Yoshitsugu,Noguchi Takashi,Matsuda Shuichi
Abstract
Abstract. Although characteristic,
Salmonella is a rare cause of
osteomyelitis, especially in healthy individuals. A
25-year old primigravida at 29 weeks' gestation noticed pain and swelling in her right wrist. Her leukocyte count was normal, but her C-reactive protein
level was slightly elevated, at 1.1 mg dL−1 (normal range, <0.2 mg dL−1). Plain radiography showed an osteolytic lesion in the distal radius,
and magnetic resonance imaging (MRI) showed an extraosseous fluid collection
with bone edema in addition to the osseous lesion.
After a needle biopsy was performed, the skin overlying the lesion became
ulcerated at the site of the needle tract. We drained whitish pus from the
site; both this pus and the original biopsy specimen grew
Salmonella on culture. We diagnosed
Salmonella osteomyelitis and began intravenous
antibiotic therapy, avoiding oral quinolones to prevent fetotoxicity. Her
symptoms resolved, as did the bone edema and fluid collection. Ossification
occurred at the site of osteolysis, with localized abnormal signal intensity
persisting on MRI. This rare case of Salmonella osteomyelitis was treated without
surgery; the patient's pregnancy influenced the treatment course.
Subject
Infectious Diseases,Orthopedics and Sports Medicine,Surgery
Cited by
1 articles.
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