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Salmonella Osteomyelitis of Unknown Origin: An Underestimated Infection

Salmonella osteomyelitis is an underdiagnosed pathology with unusual clinical presentations. The patient was a 24-year-old female with no previous medical history who presented to the emergency department with progressive pain in the left arm for several months. She was initially treated unsuccessfu...

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Autores principales: Rentmeister, Victor, Lorenzo-Villalba, Noel, Gorur, Yilmaz, Yerna, Michele, Ali, Deeba
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SMC Media Srl 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10619530/
https://www.ncbi.nlm.nih.gov/pubmed/37920222
http://dx.doi.org/10.12890/2023_004092
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author Rentmeister, Victor
Lorenzo-Villalba, Noel
Gorur, Yilmaz
Yerna, Michele
Ali, Deeba
author_facet Rentmeister, Victor
Lorenzo-Villalba, Noel
Gorur, Yilmaz
Yerna, Michele
Ali, Deeba
author_sort Rentmeister, Victor
collection PubMed
description Salmonella osteomyelitis is an underdiagnosed pathology with unusual clinical presentations. The patient was a 24-year-old female with no previous medical history who presented to the emergency department with progressive pain in the left arm for several months. She was initially treated unsuccessful with augmentin for 7 days for suspicious cellulites. Standard elbow X-rays described a lesion initially considered as metastatic. Investigations were completed with magnetic resonance imaging (MRI) compatible with osteomyelitis. Following surgical sampling, salmonella enterica infection was diagnosed. The patient recovered full use of her limb after 8 days of IV antibiotic therapy with third-generation cephalosporin, and she completed 11 weeks of antibiogram-targeted PO fluoroquinolone therapy. Salmonella osteomyelitis could mimic other diseases, making diagnosis difficult. LEARNING POINTS: A poor response to treatment should raise questions about the initial diagnosis. Isolated metastatic lesions in the upper limbs are rare and require proper clinical and radiological evaluation to arrive at a correct diagnosis.
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spelling pubmed-106195302023-11-02 Salmonella Osteomyelitis of Unknown Origin: An Underestimated Infection Rentmeister, Victor Lorenzo-Villalba, Noel Gorur, Yilmaz Yerna, Michele Ali, Deeba Eur J Case Rep Intern Med Articles Salmonella osteomyelitis is an underdiagnosed pathology with unusual clinical presentations. The patient was a 24-year-old female with no previous medical history who presented to the emergency department with progressive pain in the left arm for several months. She was initially treated unsuccessful with augmentin for 7 days for suspicious cellulites. Standard elbow X-rays described a lesion initially considered as metastatic. Investigations were completed with magnetic resonance imaging (MRI) compatible with osteomyelitis. Following surgical sampling, salmonella enterica infection was diagnosed. The patient recovered full use of her limb after 8 days of IV antibiotic therapy with third-generation cephalosporin, and she completed 11 weeks of antibiogram-targeted PO fluoroquinolone therapy. Salmonella osteomyelitis could mimic other diseases, making diagnosis difficult. LEARNING POINTS: A poor response to treatment should raise questions about the initial diagnosis. Isolated metastatic lesions in the upper limbs are rare and require proper clinical and radiological evaluation to arrive at a correct diagnosis. SMC Media Srl 2023-10-18 /pmc/articles/PMC10619530/ /pubmed/37920222 http://dx.doi.org/10.12890/2023_004092 Text en © EFIM 2023 https://creativecommons.org/licenses/by-nc-nd/4.0/This article is licensed under a Commons Attribution Non-Commercial 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Articles
Rentmeister, Victor
Lorenzo-Villalba, Noel
Gorur, Yilmaz
Yerna, Michele
Ali, Deeba
Salmonella Osteomyelitis of Unknown Origin: An Underestimated Infection
title Salmonella Osteomyelitis of Unknown Origin: An Underestimated Infection
title_full Salmonella Osteomyelitis of Unknown Origin: An Underestimated Infection
title_fullStr Salmonella Osteomyelitis of Unknown Origin: An Underestimated Infection
title_full_unstemmed Salmonella Osteomyelitis of Unknown Origin: An Underestimated Infection
title_short Salmonella Osteomyelitis of Unknown Origin: An Underestimated Infection
title_sort salmonella osteomyelitis of unknown origin: an underestimated infection
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10619530/
https://www.ncbi.nlm.nih.gov/pubmed/37920222
http://dx.doi.org/10.12890/2023_004092
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