McAnearney S, McCall D
ST1, Departments of Cardiology and General Medicine, Daisy Hill Hospital, Newry, UK.
Ulster Med J. 2015 Oct;84(3):171-2.
Salmonella infection can cause four predominant clinical syndromes: enteric fever, acute gastroenteritis, bacteraemia with or without metastatic infection, and the asymptomatic carrier state. Salmonella as an aetiological agent in osteomyelitis is essentially rare and salmonella osteomyelitis in itself is predominantly seen in patients with haemoglobinopathies such as sickle cell disease or thalassemia. There are very few cases reported in the literature in which salmonella osteomyelitis is seen in otherwise healthy individuals. We describe here a case of salmonella osteomyelitis in a young gentleman with no significant comorbidities who presented with fever and severe back pain, having returned from recent foreign travel. It is therefore important to consider uncommon pathogens in the differential diagnosis of travellers with prolonged fever and insidious symptoms.
肠热症、急性肠胃炎、伴有或不伴有转移性感染的菌血症以及无症状带菌状态。沙门氏菌作为骨髓炎的病原体本质上较为罕见,沙门氏菌骨髓炎本身主要见于患有血红蛋白病(如镰状细胞病或地中海贫血)的患者。文献中报道的在其他方面健康的个体中出现沙门氏菌骨髓炎的病例非常少。我们在此描述一例年轻男性的沙门氏菌骨髓炎病例,该患者无明显合并症,近期国外旅行归来后出现发热和严重背痛。因此,在对长期发热和隐匿性症状的旅行者进行鉴别诊断时,考虑罕见病原体很重要。