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Danger in Paradise

A Tale of Salmonella

Dobosz, Anna MD*; Jagarlamudi, Rajasekhar MD*; Ferguson, Eric MD; Otto, Michael MD*; Kothari, Neelay MD*

Infectious Diseases in Clinical Practice: January 2018 - Volume 26 - Issue 1 - p 45–46
doi: 10.1097/IPC.0000000000000583
Case Reports
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Salmonella-causing osteomyelitis of the sacroiliac joint in healthy young adults is extremely rare. We report a case of a young healthy woman who presented with fever and low back pain after a trip. She was subsequently found to have Salmonella oranienburg bacteremia and associated sacroiliac osteomyelitis. After prolonged parenteral and oral antibiotics, she recovered without complications.

Salmonella causing osteomyelitis of the sacroiliac joint in healthy young adults is extremely rare. The authors report a case of a young healthy woman who presented with fever and low back pain after a trip abroad. She was subsequently found to have Salmonella oranienburg bacteremia with associated sacroiliac osteomyelitis. After prolonged parenteral and oral antibiotic courses, she recovered without complications. Increased awareness and aggressive treatment may be needed for at-risk and infected patients.

From the *Department of Internal Medicine, Division of Infectious Diseases, and †Department of Radiology, St Joseph Mercy Hospital, Ann Arbor, MI.

Correspondence to: Anna Dobosz, MD, Department of Internal Medicine, Division of Infectious Diseases, St Joseph Mercy Hospital, 5301 McAuley Dr, Suite 6109 Ypsilanti, Ann Arbor, MI 48197. E-mail: anna_dobosz@ihacares.com; or Neelay Kothari, MD, Department of Internal Medicine, Division of Infectious Diseases, St Joseph Mercy Hospital, 5301 McAuley Dr, Suite 6109 Ypsilanti, Ann Arbor, MI 48197. E-mail: Neelay_Kothari@ihacares.com.

The authors have seen and approved the article. All contributed to the work. The authors endorse that the article has not been submitted to any other publications, nor has it been published previously.

Patient consent has been obtained.

The authors disclose no conflicts of interest.

No funding was provided for this publication.

Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.