title: Salmonellapyomyositis with concurrent sacroiliac osteomyelitis presenting as piriformis syndrome: A rare case.
abstract: A-21-year old male admitted with fever and piriformis syndrome, typically associated with gluteal region pain radiating down the thigh, was evaluated and found to have pyomyositis involving piriformis and osteomyelitis with sacroiliac joint affection on radiological imaging. Salmonella serotype typhi was isolated from blood culture. He was treated with intravenous Ceftriaxone for 6 weeks with signs of recovery documented clinically as well as on imaging studies. Salmonella pyomyositis with osteomyelitis in an immunocompetent patient with no previous hematological or endocrine disorder makes this case an unusual presentation.
authors: Department of Medicine, Deenanath Mangeshkar Hospital and Research Centre, Pune, Maharashtra, India.
authors: P S
authors: PS
authors: Phadke
authors: Department of Medicine, Deenanath Mangeshkar Hospital and Research Centre, Pune, Maharashtra, India.
authors: A R
authors: AR
authors: Gandhi
authors: Department of Medicine, Deenanath Mangeshkar Hospital and Research Centre, Pune, Maharashtra, India.
authors: S A
authors: SA
authors: More
authors: Department of Medicine, Deenanath Mangeshkar Hospital and Research Centre, Pune, Maharashtra, India.
authors: R P
authors: RP
authors: Joshirao
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D005334:Fever / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010019:Osteomyelitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D010388:Pelvis / Q000000981:diagnostic imaging*; D052880:Pyomyositis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D012480:Salmonella Infections / Q000175:diagnosis* / Q000188:drug therapy; D012485:Salmonella typhi / Q000302:isolation & purification*; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents; D002443:Ceftriaxone