Salmonella paratyphi osteomyelitis and psoas abscess

Abstract

Bone and joint infections associated with Salmonella spp account for less than 1% of all Salmonella infections. Most of the isolates are Salmonella typhi. Joint infections with S. paratyphi are uncommon, and there have been only a few reported cases in literature. Psoas abscess caused by S. paratyphi has not been reported previously in the literature. We report a case of S. paratyphi A osteomyelitis and psoas abscess.

Increasing rates ofSalmonellaParatyphi A and the current status of its vaccine development

“…Review www.expert-reviews.com meningitis [41], chronic subdural empyema [42], fulminant hepatic failure [43], liver abscess [44], renal abscess [45], osteomyelitis and psoas abscess [46], thyroid abscess [47], ovary abscess [48] and splenic abscess [49] suggesting that the potential clinical severity associated with S. Paratyphi A infections at least in some cases are similar to those reported in S. Typhi infections. Beyond endemic countries, Israeli travelers who were infected with S. Paratyphi A showed more complications than those infected with S. Typhi (18.7 vs 3.2%, respectively) [50].…”

Osteomyelitis, discitis, epidural and psoas abscess secondary toSalmonella entericain a man with diabetes mellitus and newly diagnosed α-thalassaemia trait

“…It is an uncommon cause of bacteraemia in hospital, accounting for just 2% of 6546 bacteraemias in one study 1. Bone and joint infections associated with Salmonella account for less than 1% of all Salmonella infections2 and as a cause of osteomyelitis Salmonella is rare, accounting for just 0.45% of osteomyelitis cases 3…”

“…Although a 2006 case series of 100 consecutive patients with focal Salmonella infection reported abscess formation in 15%, it did not report any psoas abscess 2. Literature on psoas abscess secondary to Salmonella is scarce4 and published research continues to rely heavily on single case reports.…”

Mix-infection of S. Typhi and ParaTyphi A in Typhoid Fever and Chronic Typhoid Carriers: A Nested PCR Based Study in North India

“…The possibility of co-infection has already been suggested by the population based serological study from Nigeria [4] and nucleic acid based detection in blood from Pakistan in acute enteric fever cases [11]. Moreover, S. ParaTyphi A causes indistinguishable clinical features [8] and may be associated with more complications [12][13]. It is now established that in biological specimens, amplification of specific DNA sequences by nested PCR is better tool than single round PCR.…”