Infantile Septic Arthritis Due to Salmonella Enterica  Serotype Typhimurium

Dr. Neerja Jindal; Dr. Gurmeet Kaur Sethi; Dr. Rubina Malhotra; Dr. Seema Singh

Volume : III, Issue : IX, September - 2013

Infantile Septic Arthritis Due to Salmonella Enterica Serotype Typhimurium

Dr. Neerja Jindal, Dr. Gurmeet Kaur Sethi, Dr. Rubina Malhotra, Dr. Seema Singh

Abstract :

Salmonella infection is endemic in developing countries. Isolation of Salmonella species from aberrant sites with variety of clinical syndromes, where they are hardly expected, has been reported. Septic arthritis and osteomyelitis are uncommon due to this organism, compared to other gram negative bacteria. They are usually associated with underlying disease including haemoglobinopathies, previous joint trauma, surgery, connective tissue diseases, lymphoma or immunosuppressive states. Bacteremia and metastatic infections are most commonly caused by Salmonella Cholerasuis and Salmonella Dublin. Here we report a rare case of septic arthritis of right knee joint caused by Salmonella Typhimurium in an infant who had no underlying disease or congenital abnormality. Septic arthritis due to Salmonella Typhimurium in a healthy infant, therefore suggests that it being an invasive organism, should be suspected in focal metastatic diseases. After laboratory confirmation it should be aggressively treated to avoid serious complications.