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DOI: 10.1055/s-0043-1768949
Primary Anterior Thoracic Wall Abscess with Osteomyelitis by Salmonella paratyphi A: Case Report
Abstract
Salmonella enterica serovar Typhi and Paratyphi have been imputed in the causation of enteric fever. Cardiovascular and extraintestinal Salmonella infections have been documented among immunocompromised individuals. Rarely these pathogens are ascribed in the causation of extraintestinal infections among immunocompetent hosts due to hematogenous seeding. We report a case of anterior chest wall abscess with osteomyelitis in an immunocompetent adult by Salmonella paratyphi A without any prior predisposing conditions or gastrointestinal symptoms. The patient underwent incision and drainage of the loculated pus and the involved costochondral junction was curetted. Medical management was guided by automated antibiotic susceptibility testing. Patient responded well to treatment and was discharged with no residual morbidities. Prompt diagnosis complements appurtenant treatment and thereby averts defunct consequential sequelae.
Publikationsverlauf
Eingereicht: 02. Februar 2023
Angenommen: 04. April 2023
Artikel online veröffentlicht:
10. Juli 2023
© 2023. The Indian Association of Laboratory Physicians. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Jennings E, Thurston TLM, Holden DW. Salmonella SPI-2 type III secretion system effectors: molecular mechanisms and physiological consequences. Cell Host Microbe 2017; 22 (02) 217-231
- 2 González LV. Human Pathogenic Enterobacterales, Encyclopedia of Infection and Immunity. Elsevier; Amsterdam, Netherlands: 2022: 628-636
- 3 Agrawal S, Yadav VS, Srivastava A, Kapil A, Dhawan B. Breast abscess due to Salmonella paratyphi A : case reports with review of literature. Intractable Rare Dis Res 2018; 7 (02) 130-133
- 4 Kothari A, Pruthi A, Chugh TD. The burden of enteric fever. J Infect Dev Ctries 2008; 2 (04) 253-259
- 5 Almeida A, Roberts I. Bone involvement in sickle cell disease. Br J Haematol 2005; 129 (04) 482-490
- 6 Booth C, Inusa B, Obaro SK. Infection in sickle cell disease: a review. Int J Infect Dis 2010; 14 (01) e2-e12
- 7 McAnearney S, McCall D. Salmonella osteomyelitis. Ulster Med J 2015; 84 (03) 171-172
- 8 Done HY, Venkatesan AK, Halden RU. Does the recent growth of aquaculture create antibiotic resistance threats different from those associated with land animal production in agriculture?. AAPS J 2015; 17 (03) 513-524
- 9 Gebreyes WA, Thakur S, Morrow WE. Comparison of prevalence, antimicrobial resistance, and occurrence of multidrug-resistant Salmonella in antimicrobial-free and conventional pig production. J Food Prot 2006; 69 (04) 743-748
- 10 Ugboko H, De N. Mechanisms of antibiotic resistance in salmonella Typhi. Int J Curr Microbiol Appl Sci 2014; 3 (12) 461-476
- 11 Shakespeare WA, Davie D, Tonnerre C, Rubin MA, Strong M, Petti CA. Nalidixic acid-resistant Salmonella enterica serotype Typhi presenting as a primary psoas abscess: case report and review of the literature. J Clin Microbiol 2005; 43 (02) 996-998
- 12 Harish BN, Menezes GA. Antimicrobial resistance in typhoidal salmonellae. Indian J Med Microbiol 2011; 29 (03) 223-229
- 13 Browne A, Rao P, Longbottom J. et al. Antimicrobial drug resistance in Salmonella Typhi and Paratyphi isolates worldwide, 1990 to 2017: a systematic review of the literature. Int J Infect Dis 2018; 73: 133-134