Extensively drug-resistant Salmonella typhi causing rib osteomyelitis: A case report

• 作者: Sara Iqbal Humza Thobani Saulat Fatimi
• 来源期刊: 亚太热带医药杂志（英文版）
• 年，卷（期）: 2021,（5）
• 所属期刊栏目: Case Report
• 页码范围: 231-233
• 页数: 3页
• 语种: 英文
• DOI: 10.4103/1995-7645.315892

摘要

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.