Salmonella osteomyelitis with osteonecrosis in a patient with systemic lupus erythematosus.
- Author:
Byung Hwa HA
1
;
Young Ok KIM
;
Joon Ki MIN
;
Jee Yeun CHOI
;
Seung Kyu LEE
;
Sun Ae YOON
;
Won Jong BAHK
;
Hae Kyung LEE
;
Kyung Ah CHUN
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Systemic lupus erythematosus;
Osteonecrosis;
Osteomyelitis;
Salmonella infection
- MeSH:
Abscess;
Adult;
Ceftriaxone;
Communicable Diseases;
Cyclophosphamide;
Drainage;
Female;
Femur;
Humans;
Knee Joint;
Lupus Erythematosus, Systemic*;
Lupus Nephritis;
Magnetic Resonance Imaging;
Osteomyelitis*;
Osteonecrosis*;
Salmonella Infections;
Salmonella*;
Tibia
- From:Korean Journal of Medicine
2000;58(1):112-116
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Although infectious diseases are frequent in systemic lupus erythematosus, salmonella osteomyelitis is rarely reported. We here report an unusual case of salmonella osteomyelitis with osteonecrosis in a patient with systemic lupus erythematosus. A 29-year old woman with systemic lupus erythematosus was admitted to our hospital because of a painful swelling of right knee joint. She had been taking steroid and cyclophosphamide for 4 months because of diffuse membranous proliferative lupus nephritis. MRI showed both osteonecrosis of the right distal femur and osteomyelitis of the right proximal tibia. The abscess culture demonstrated almonella species (non typhoidal). The infection was treated successfully by a combination of surgical drainage and intravenous ceftriaxone.
