Atypical presentation of spondylitis in a case with sickle cell disease.
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.
Devrim
Ilker
I
Units of Infectious Diseases, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Kara
Ateş
A
Kanra
Güler
G
Yazici
Muharrem
M
Guçer
Safak
S
Gümrük
Fatma
F
Cengiz
A Bülent
AB
Seçmeer
Gülten
G
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