Salmonella Osteomyelitis with Cutaneous Fistula in an Immunocompetent Adult Presenting as a Tumor-like Bone Lesion.
Taito Sakurai, Kei Furui Ebisawa, Takashi Koyama et al.
✦ AI-curated · Sources linked
Case in brief
A healthy Japanese man in his 30s presented with right leg pain and a cutaneous fistula persisting for four months. The lesion was described as a tumor-like bone lesion, and bone culture identified non-typhoidal Salmonella as the cause of osteomyelitis. He received ceftriaxone, then ampicillin, followed by oral amoxicillin.
What made this case unusual
The chronic infection presented with a cutaneous fistula and a tumor-like bone lesion in an immunocompetent adult, an uncommon setting for invasive non-typhoidal Salmonella infection.
Diagnostic / clinical pearl
In a tumor-like bone lesion with a persistent cutaneous fistula, bone culture can identify the causative organism and support an accurate diagnosis of osteomyelitis.