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Case Reports
. 2023 Jul 10;15(4):613-615.
doi: 10.1055/s-0043-1768949. eCollection 2023 Dec.

Primary Anterior Thoracic Wall Abscess with Osteomyelitis by Salmonella paratyphi A : Case Report

Neetha S Murthy  1 , Rashmi P Mahale  1 , Krishna Karthik Mvs  1
Affiliations
Case Reports

Primary Anterior Thoracic Wall Abscess with Osteomyelitis by Salmonella paratyphi A : Case Report

Neetha S Murthy et al. J Lab Physicians. .

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.

Keywords: Salmonella paratyphi A; extraintestinal salmonellosis.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
Direct Gram smear showing pus cells with Gram-negative bacilli.
Fig. 2
Fig. 2
Nonlactose fermenting colonies on MacConkey agar.
See this image and copyright information in PMC

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