A rare case of Salmonella-mediated sacroiliitis, adjacent subperiosteal abscess, and myositis.
We report the case of a 16-year-old female who was ultimately diagnosed with Salmonella sacroiliitis, adjacent subperiosteal abscess, and myositis of the left iliopsoas, gluteus medius, and obturator internus muscles. Early and accurate recognition of this syndrome and other infectious musculoskeletal syndromes can prove difficult for the emergency physician, as these disease processes require special attention to pain of proportion to physical findings and a high index of suspicion.
Sharieff
Ghazala Q
GQ
Department of Emergency Medicine, Pomerado Hospital, Poway, CA, USA.
Lee
David M
DM
Anshus
John S
JS
D000038:Abscess / Q000209:etiology* / Q000382:microbiology; D000293:Adolescent; D000900:Anti-Bacterial Agents; D001170:Arthritis, Infectious / Q000209:etiology* / Q000382:microbiology; D002481:Cellulitis / Q000209:etiology / Q000382:microbiology; D003951:Diagnostic Errors; D003967:Diarrhea / Q000209:etiology; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004630:Emergencies; D005260:Female; D005334:Fever / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D009220:Myositis / Q000209:etiology* / Q000382:microbiology; D012446:Sacroiliac Joint / Q000382:microbiology*; D012480:Salmonella Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D012585:Sciatica / Q000175:diagnosis; D014777:Virus Diseases / Q000175:diagnosis
D000900:Anti-Bacterial Agents