A Case of Acute Osteomyelitis of the Femur Caused by Nalidixic-Acid-Resistant Salmonella enteritidis.
10.3904/kjm.2015.88.3.340
- Author:
Seong Kyun NA
1
;
Tae Jun KIM
;
Jeong a LEE
;
Seung Soon LEE
;
Sung Hye KOH
;
Tae Young KIM
;
Han Sung KIM
Author Information
1. Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea. hushh93@hallym.or.kr
- Publication Type:Case Report
- Keywords:
Salmonella enteritidis;
Osteomyelitis;
Nalidixic acid;
Drug resistance
- MeSH:
Abscess;
Bacteremia;
Ciprofloxacin;
Diagnosis;
Drainage;
Drug Resistance;
Femur*;
Gastroenteritis;
Humans;
Korea;
Middle Aged;
Nalidixic Acid;
Osteomyelitis*;
Salmonella;
Salmonella enteritidis*
- From:Korean Journal of Medicine
2015;88(3):340-345
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Infection with nontyphoidal Salmonella most often results in self-limited acute gastroenteritis. However, occasionally it causes bacteremia and localized infection requiring antibiotic treatment. A third-generation cephalosporin or fluoroquinolone is often the first choice of antibiotic. However, there has been an increase in nalidixic-acid-resistant nontyphoidal Salmonella with decreased fluoroquinolone susceptibility. Although there have been many cases reported of nontyphoidal Salmonella, no cases of nalidixic-acid-resistant nontyphoidal Salmonella have been reported in Korea. Here, we report on the case of a 61-year-old man with a diagnosis of acute osteomyelitis and periosteal abscess of the femur caused by nalidixic-acid-resistant Salmonella enteritidis. He was treated successfully with prolonged administration of a high-dose of ciprofloxacin and drainage of the abscess.
