title: Atypical presentation of spondylitis in a case with sickle cell disease.
abstract: Salmonella osteomyelitis is rarely seen and vertebral involvement by this organism is very rare, especially in childhood. Salmonella should be considered in the list of etiologic agents of osteomyelitis in sickle cell disease. Herein we report a five-year-old boy with sickle cell disease and Salmonella paratyphi B spondylitis who was diagnosed with atypical clinical findings of infection. We would like to emphasize the importance of differentiation between osteomyelitis and infarction even if there is no obvious sign of infection in the sickle cell patient even at atypical localization.
authors.affiliation: Units of Infectious Diseases, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.
authors.forename: Ilker
authors.initials: I
authors.lastname: Devrim
authors.forename: Ateş
authors.initials: A
authors.lastname: Kara
authors.forename: Güler
authors.initials: G
authors.lastname: Kanra
authors.forename: Muharrem
authors.initials: M
authors.lastname: Yazici
authors.forename: Safak
authors.initials: S
authors.lastname: Guçer
authors.forename: Fatma
authors.initials: F
authors.lastname: Gümrük
authors.forename: A Bülent
authors.initials: AB
authors.lastname: Cengiz
authors.forename: Gülten
authors.initials: G
authors.lastname: Seçmeer
mesh_terms: D000755:Anemia, Sickle Cell / Q000453:epidemiology*; D002675:Child, Preschool; D015897:Comorbidity; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000382:microbiology; D012484:Salmonella paratyphi B; D013122:Spinal Diseases / Q000382:microbiology; D013123:Spinal Fusion; D013166:Spondylitis / Q000175:diagnosis* / Q000453:epidemiology / Q000601:surgery