title: Multiple Salmonella enteritidis leg abscesses in a patient with systemic lupus erythematosus.
abstract: We describe a 19 year old woman with systemic lupus erythematosus on corticosteroid therapy, who developed bilateral, multiple, gas-forming Salmonella enteritidis leg abscesses and osteomyelitis mimicking deep vein thrombosis. The infection was treated successfully by a combination of surgical drainage and intravenous ceftriaxone, followed by prolonged oral pefloxacin. This rare case of gas-producing S. enteritidis emphasizes the difficulty in diagnosing such complications in active systemic lupus erythematosus.
authors.affiliation: Department of Medicine D, Chaim Sheba Medical Center, Tel Hashomer, Israel.
authors.forename: A
authors.initials: A
authors.lastname: Shamiss
authors.forename: M
authors.initials: M
authors.lastname: Thaler
authors.forename: N
authors.initials: N
authors.lastname: Nussinovitch
authors.forename: R
authors.initials: R
authors.lastname: Zissin
authors.forename: T
authors.initials: T
authors.lastname: Rosenthal
mesh_terms: D000038:Abscess / Q000382:microbiology*; D000328:Adult; D002443:Ceftriaxone / Q000627:therapeutic use; D004322:Drainage; D005260:Female; D006801:Humans; D007866:Leg; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D010019:Osteomyelitis / Q000382:microbiology; D015366:Pefloxacin / Q000627:therapeutic use; D012480:Salmonella Infections / Q000150:complications* / Q000188:drug therapy; D012477:Salmonella enteritidis
chemical_list: D015366:Pefloxacin; D002443:Ceftriaxone