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Enferm Infecc Microbiol Clin. 1995 Aug-Sep;13(7):406-10.

[Osteoarticular infections by Salmonella non-typhi].

[Article in Spanish]

Author information

1
Servicio de Microbiología Médica, Fundación Jiménez Díaz, Madrid.

Abstract

BACKGROUND:

The aim of this study was to know the clinical characteristics of osteoarticular infection by Salmonella non typhi (SNT) in Spain.

PATIENTS AND METHODS:

The medical records of 14 patients with osteoarticular infection by SNT from January 1970 to December 1992 were reviewed.

RESULTS:

Over the above mentioned 23 years, 1334 patients had been diagnosed with one or more SNT isolations, with 14 (1%) having osteoarticular infection. Seven patients had septic arthritis, 3 osteomyelitis and 4 mixed infection (arthritis and osteomyelitis). Thirteen patients (93%) presented with underlying systemic disease (immunosuppression 12 cases [86%] and hemoglobinopathy 1 case [7%]) and 5 (36%) had predisposing osteoarticular disease. The most commonly affected joint was the knee (9.58%). Involvement was monoarticular in 8 episodes (73%). Out of the 7 cases with osteomyelitis, 4 (57%) were secondary to an articular foci and 3 (43%) were of hematogenic origin. The femur (4 cases, 44%) and the tibia (4 cases, 44%) were the most frequent localizations. On nine occasions (64%) the cultures remained positive 7 days after initiation of antibiotic treatment. Only one patient died as a consequence of the articular infection.

CONCLUSIONS:

Osteoarticular infection by Salmonella non typhi should take the existence of immune disorders into account.

PMID:
8519817
[Indexed for MEDLINE]
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