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Case Reports
. 2023 Feb;13(2):1-4.
doi: 10.13107/jocr.2023.v13.i02.3532.

Case Report of Pediatric Osteomyelitis: A Double Whammy of Unusual Etiology and Antibiotic Susceptibility

Malavalli Venkatesh Bhavana  1 , Prashanth Inna  2 , Archana Mahalingam  3 , Ranjeeta Adhikary  1 , Anjana Aravinda  1
Affiliations
Case Reports

Case Report of Pediatric Osteomyelitis: A Double Whammy of Unusual Etiology and Antibiotic Susceptibility

Malavalli Venkatesh Bhavana et al. J Orthop Case Rep. 2023 Feb.

Abstract

Introduction: Osteomyelitis is one of the infrequent presentations of Salmonella infection. Most of the case reports are among adult patients. It is very rare in children, and is most often associated with hemoglobinopathies or other predisposing clinical conditions.

Case report: In this article, we present a case of osteomyelitis caused by Salmonella enterica serovar Kentucky, in a previously healthy 8-year-old child. Further, this isolate had an unusual susceptibility pattern; it showed resistance to the third-generation cephalosporins, akin to ESBL production among Enterobacterales.

Conclusion: Osteomyelitis caused by Salmonella does not have any specific clinical or radiological features, both in adult and pediatric age groups. A high index of suspicion, using appropriate testing methodologies and awareness about emerging drug resistance helps in accurate clinical management.

Keywords: Salmonella; immunocompetant; osteomyelitis; pediatric.

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Conflict of interest statement

Conflict of Interest: Nil

Figures

Figure 1
Figure 1
The affected knee.
Figure 2
Figure 2
X-ray left knee.
Figure 3
Figure 3
USG picture of the left knee.
Figure 4
Figure 4
Microbiological identification of the causative organism.
See this image and copyright information in PMC

References

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