A Case of Salmonella Osteomyelitis in a Patient with Systemic Lupus Erythematosus.
- Author:
Jeong Soo SONG
;
Won PARK
;
Hee Sup UM
;
Sung Kwon BAE
;
Seung Won CHOI
;
Myung Ku KIM
;
Jong Wook LEE
;
Soo Hwan BAE
- Publication Type:Case Report
- Keywords:
Systemic lupus erythematosus;
Osteomyelitis;
Salmonella enteritdis
- MeSH:
Adult;
Antibodies;
Autoimmune Diseases;
Bacteria;
Cell Nucleus;
Drainage;
Female;
Femur;
Fever;
Hot Temperature;
Humans;
Lupus Erythematosus, Systemic*;
Mortality;
Osteomyelitis*;
Salmonella enteritidis;
Salmonella*;
Staphylococcus;
Suppuration
- From:The Journal of the Korean Rheumatism Association
1999;6(1):91-96
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Systemic lupus ertthematosus(SLE) is a prototypic autoimmune disease characterized by the production of antibodies to components of the cell nucleus in association with a diverse array of clinical manifestations. Infection is a major source of morbidity and mortality in parients whth SLE. Although the most frequent etiologic agents are pyogenic organisms such as Staphylococcus species and Echerichia coli, opportunistic pathogens such as uncommon bacteria, fungal organisms, viruses and protozoans have been described. Cases of osteomyelitis due to Salmonella have been reported worldwide, however, it has never been reported in the Korean literature. A 35-year-old female patient with SEL, who has treated with corticosteroid was complicated by osteomyelitis on the life distar femur. A computerized tomography guided aspiration showed greenish yellow pus. Salmonella enteritidis was cultured from the pus. Incision and pus drainage was performed. After 6weeks of antiboitic theraphy, fever, local heat, and swelling improved and she was discharged. We report this patient with a review of relevant literatures.
