Bilateral hip septic arthritis caused by nontyphoidal Salmonella group D in a 16-year-old girl with COVID-19: A case report.

Autor: Salehi M; Department of Infectious Diseases and Tropical Medicines, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran., Nourbakhsh SMK; Department of Pediatrics, Pediatric Hematology and Oncology Section, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran., Ardakani MV; Department of Orthopedics, Joint Reconstruction Research Centre, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran., Abdollahi A; Department of Pathology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran., Khaki PA; Central Laboratory, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran., Aliramezani A; Central Laboratory, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: aliramezaniamir@gmail.com.
Jazyk: angličtina
Zdroj: International journal of surgery case reports [Int J Surg Case Rep] 2022 Jun; Vol. 95, pp. 107202. Date of Electronic Publication: 2022 May 17.
DOI: 10.1016/j.ijscr.2022.107202
Abstrakt: Introduction and Importance: Nontyphoidal Salmonella infection can lead to gastroenteritis, enteric fever, and bacteremia. However, joint infections due to this bacterium are rare, and usually associated with immunosuppressive disorders.
Case Presentation: A 16-year-old girl, with a recent history of acute lymphocytic leukemia (ALL) presented with bacteremia, and bilateral hip pain after COVID-19 symptoms. Clinical presentation, laboratory features and imaging showed bilateral nontyphoidal Salmonella septic arthritis. We administered antibiotics, based on antibiotics susceptibility pattern of the isolated Salmonella.
Clinical Discussion: The case is presented because reports of bilateral hip joint infection due to nontyphoidal Salmonella are rare especially after COVID-19. When the patient presents with joint discomfort, the clinician should think infection especially in immunocompromised hosts.
Conclusion: It illustrates successful management of septic arthritis requires prompt clinical diagnosis, microorganism identification, administration of appropriate systemic antibiotics and hip joint surgery.
(Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE