Wound infection by Salmonella Typhi in a spinal injury patient without underlying osteomyelitis

Salmonella is known to cause gastrointestinal illness globally. Primarily being an enteric pathogen, other extraintestinal infections are often obscured by gastrointestinal disease. However, Salmonella has also been reported to cause wound infections, endovascular infections, pneumonia, abscess, and osteomyelitis. These are more commonly encountered in immunocompromised patients, especially in developing countries. The authors report a case of surgical-site infection caused by Salmonella in a patient with meningioma. Salmonella causes only less than 1% of infections involving bones and joints and is more commonly reported from patients with sickle-cell hemoglobinopathy or autoimmune disorders such as systemic lupus erythematosus. Our patient had no such risk factors. This report highlights the unusual presentation of Salmonella infection in a diabetic patient, which further complicated the ongoing illness, thereby increasing the morbidity.

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Surgical Site Infection Caused by Salmonella Enteritidis in a Patient With Meningioma

Gupta

Angrup

Ray

et al. 2020

Infect Dis Clin Pract

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Osteoarticular Salmonella infections in healthy children

Wang

Lei

Huang

et al. 2021

Medicine: Case Reports and Study Protocols

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Introduction: Osteoarticular infections caused by Salmonella spp. are rare. Salmonella osteomyelitis is more common in children with underlying chronic diseases or immunodeficiency, but is rare in previously healthy children. Patient concerns: Six previously healthy children with Salmonella osteoarticular infections were admitted to our hospital. Identification and characterization of the isolates were also performed and correlated with the clinical findings. Diagnosis: The predominant symptoms were fever, pain, and swelling. Three patients were diagnosed with osteomyelitis (including 2 with left humerus, 1 with left tibia), 1 patient with osteoarthritis (elbow, right), and 2 patients with septic arthritis (knee joint, right). Interventions: Surgical drainage was performed in all children, and the aspirates were subsequently cultured. Intravenous antibiotic therapy combined with surgical drainage of purulent material is necessary to eradicate the infection. Outcomes: A 2-year follow-up showed good healing in all six children after clinical interventions. Conclusion: Osteoarticular infections caused by Salmonella have no distinctive features, clinical manifestations, or radiological characteristics. Intravenous antibiotics combined with surgical debridement/drainage are necessary for eradication of the bacteria.

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Wound infection by Salmonella Typhi in a spinal injury patient without underlying osteomyelitis

Cited by 2 publications

References 4 publications

Surgical Site Infection Caused by Salmonella Enteritidis in a Patient With Meningioma

Surgical Site Infection Caused by Salmonella Enteritidis in a Patient With Meningioma

Osteoarticular Salmonella infections in healthy children

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