Multiple Salmonella enteritidis leg abscesses in a patient with systemic lupus erythematosus.
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.
Shamiss
A
A
Department of Medicine D, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Thaler
M
M
Nussinovitch
N
N
Zissin
R
R
Rosenthal
T
T
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
D015366:Pefloxacin; D002443:Ceftriaxone