| CASE REPORT |
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| Year : 2021 | Volume
: 14
| Issue : 5 | Page : 231-233 |
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Extensively drug-resistant Salmonella typhi causing rib osteomyelitis: A case report
Sara Iqbal1, Humza Thobani2, Saulat Fatimi1
1 Section of Cardiothoracic Surgery, Department of Surgery, Aga Khan University Hospital, Pakistan
2 Medical College, Aga Khan University, Pakistan
Correspondence Address:
Humza Thobani
Medical College, Aga Khan University
Pakistan
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/1995-7645.315892
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Rationale: Salmonella (S.) typhi is a rare cause of osteomyelitis in immunocompetent adults. Extensive drug resistance (XDR) may lead to more complicated cases of S. typhi osteomyelitis.
Patient concern: A 55-year-old female presented with a persistent low-grade fever and a swelling on her lower left chest with a sinus discharging purulent fluid for the past 8 months. Her symptoms had been unresponsive to previous anti-microbial therapy.
Diagnosis: Rib osteomyelitis caused by XDR S. typhi.
Interventions: Surgical wound debridement, left 7th-9th rib resection and intravenous IV meropenem were done.
Outcome: Fever resolved and left-sided swelling resected without recurrence.
Lessons: The prevalence of XDR S. typhi is growing in South Asia and should be considered as the differential diagnosis of chronic osteomyelitis. |
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