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Salmonella enteridis Septic Arthritis: A Report of Two Cases
Introduction. Nontyphoidal salmonellosis causes significant morbidity, is transmitted via fecal-oral route, and is a worldwide cause of gastroenteritis, bacteremia, and local infections. Salmonella is a less common etiologic factor for septic arthritis compared with other gram-negative bacteria. Cas...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3819818/ https://www.ncbi.nlm.nih.gov/pubmed/24251049 http://dx.doi.org/10.1155/2013/642805 |
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author | Uygur, Esat Reddy, Krishna Özkan, Feyza Ünlü Söylemez, Salih Aydin, Özlem Şenol, Serkan |
author_facet | Uygur, Esat Reddy, Krishna Özkan, Feyza Ünlü Söylemez, Salih Aydin, Özlem Şenol, Serkan |
author_sort | Uygur, Esat |
collection | PubMed |
description | Introduction. Nontyphoidal salmonellosis causes significant morbidity, is transmitted via fecal-oral route, and is a worldwide cause of gastroenteritis, bacteremia, and local infections. Salmonella is a less common etiologic factor for septic arthritis compared with other gram-negative bacteria. Cases. We present two septic arthritis cases with Salmonella enteridis as a confirmed pathogen and also discuss the predisposing factors and treatment. Discussion. Septic arthritis is an orthopedic emergency. The gold standard treatment of septic arthritis is joint debridement, antibiotic therapy according to the culture results, and physiotherapy, which should start in the early postoperative period to prevent limitation of motion. Salmonella is an atypical agent for septic arthritis. It must be particularly kept in mind as an etiologic factor for the acute arthritis of a patient with sickle cell anemia and systemic lupus erythematosus. Clinicians should be cautious that the white blood cell count in synovial fluid can be under 50.000/mm(3) in immune compromised individuals with septic arthritis. The inflammatory response can be deficient, or the microorganism may be atypical. Conclusion. Atypical bacteria such as Salmonella species in immune compromised patients can cause joint infections. Therefore, Salmonella species must always be kept in mind for the differential diagnosis of septic arthritis in a clinically relevant setting. |
format | Online Article Text |
id | pubmed-3819818 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-38198182013-11-18 Salmonella enteridis Septic Arthritis: A Report of Two Cases Uygur, Esat Reddy, Krishna Özkan, Feyza Ünlü Söylemez, Salih Aydin, Özlem Şenol, Serkan Case Rep Infect Dis Case Report Introduction. Nontyphoidal salmonellosis causes significant morbidity, is transmitted via fecal-oral route, and is a worldwide cause of gastroenteritis, bacteremia, and local infections. Salmonella is a less common etiologic factor for septic arthritis compared with other gram-negative bacteria. Cases. We present two septic arthritis cases with Salmonella enteridis as a confirmed pathogen and also discuss the predisposing factors and treatment. Discussion. Septic arthritis is an orthopedic emergency. The gold standard treatment of septic arthritis is joint debridement, antibiotic therapy according to the culture results, and physiotherapy, which should start in the early postoperative period to prevent limitation of motion. Salmonella is an atypical agent for septic arthritis. It must be particularly kept in mind as an etiologic factor for the acute arthritis of a patient with sickle cell anemia and systemic lupus erythematosus. Clinicians should be cautious that the white blood cell count in synovial fluid can be under 50.000/mm(3) in immune compromised individuals with septic arthritis. The inflammatory response can be deficient, or the microorganism may be atypical. Conclusion. Atypical bacteria such as Salmonella species in immune compromised patients can cause joint infections. Therefore, Salmonella species must always be kept in mind for the differential diagnosis of septic arthritis in a clinically relevant setting. Hindawi Publishing Corporation 2013 2013-10-22 /pmc/articles/PMC3819818/ /pubmed/24251049 http://dx.doi.org/10.1155/2013/642805 Text en Copyright © 2013 Esat Uygur et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Uygur, Esat Reddy, Krishna Özkan, Feyza Ünlü Söylemez, Salih Aydin, Özlem Şenol, Serkan Salmonella enteridis Septic Arthritis: A Report of Two Cases |
title |
Salmonella enteridis Septic Arthritis: A Report of Two Cases |
title_full |
Salmonella enteridis Septic Arthritis: A Report of Two Cases |
title_fullStr |
Salmonella enteridis Septic Arthritis: A Report of Two Cases |
title_full_unstemmed |
Salmonella enteridis Septic Arthritis: A Report of Two Cases |
title_short |
Salmonella enteridis Septic Arthritis: A Report of Two Cases |
title_sort | salmonella enteridis septic arthritis: a report of two cases |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3819818/ https://www.ncbi.nlm.nih.gov/pubmed/24251049 http://dx.doi.org/10.1155/2013/642805 |
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