Extensively drug-resistant Salmonella typhi causing rib osteomyelitis: A case report
| Autor: | Humza Thobani, Sara Iqbal, Saulat H. Fatimi |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
salmonella typhi
extensive drug resistance rib osteomyelitis immunocompetence medicine.medical_specialty Salmonella business.industry Osteomyelitis RC955-962 Surgical wound General Medicine Drug resistance Salmonella typhi medicine.disease medicine.disease_cause Rib resection Meropenem Surgery Arctic medicine. Tropical medicine medicine Differential diagnosis business medicine.drug |
| Zdroj: | Asian Pacific Journal of Tropical Medicine, Vol 14, Iss 5, Pp 231-233 (2021) |
| ISSN: | 1995-7645 |
| Popis: | Rationale: Salmonella (S.) typhi is a rare cause of osteomyelitis in immunocompetent adults. Extensive drug resistance (XDR) may lead to more complicated cases of S. typhi osteomyelitis. Patient concern: A 55-year-old female presented with a persistent low-grade fever and a swelling on her lower left chest with a sinus discharging purulent fluid for the past 8 months. Her symptoms had been unresponsive to previous anti-microbial therapy. Diagnosis: Rib osteomyelitis caused by XDR S. typhi. Interventions: Surgical wound debridement, left 7th-9th rib resection and intravenous IV meropenem were done. Outcome: Fever resolved and left-sided swelling resected without recurrence. Lessons: The prevalence of XDR S. typhi is growing in South Asia and should be considered as the differential diagnosis of chronic osteomyelitis. |
| Databáze: | OpenAIRE |
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