Primary subacute Salmonella osteomyelitis of the navicular bone in a child with normal immunity

J Pediatr Orthop B. 2009 Sep;18(5):225-7. doi: 10.1097/BPB.0b013e32832e9639.

Abstract

Primary subacute haematogenous osteomyelitis is one of the causes of limp. It usually involves tubular bones. Flat and small bones are affected less commonly. Diagnosis is difficult and usually takes weeks together for completion. Salmonella spp. can be isolated as a cause of primary subacute haematogenous osteomyelitis, if a usually underlying disorder, such as sickle cell anemia is associated. In this study, we present a child with normal immunity diagnosed as Salmonella primary subacute haematogenous osteomyelitis of the navicular bone, which is a rare condition. Primary subacute haematogenous osteomyelitis must be considered as a cause of limp for timely diagnosis and treatment.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Anti-Bacterial Agents / therapeutic use
  • Bacteremia / drug therapy
  • Bacteremia / microbiology*
  • Cefotaxime / therapeutic use
  • Child, Preschool
  • Foot Diseases / diagnosis
  • Foot Diseases / drug therapy
  • Foot Diseases / microbiology*
  • Humans
  • Immunity
  • Immunocompetence
  • Magnetic Resonance Imaging
  • Male
  • Osteomyelitis / diagnosis
  • Osteomyelitis / drug therapy
  • Osteomyelitis / microbiology*
  • Salmonella / isolation & purification*
  • Salmonella / physiology
  • Salmonella Infections / diagnosis
  • Salmonella Infections / drug therapy
  • Salmonella Infections / microbiology*
  • Tarsal Bones / microbiology*
  • Tarsal Bones / surgery

Substances

  • Anti-Bacterial Agents
  • Cefotaxime