Abstract
Salmonella osteoarticular infections involve mainly long bones such as the femur, tibia, and humerus in patients with sickle cell disease (SCD). We report here two unusual cases of Salmonella osteoarthritis affecting sacroiliac and sternoclavicular joints in two patients with SCD, one patient also being followed for rheumatoid arthritis. Because of misleading presentation, diagnosis of septic osteoarthritis in patients with SCD requires a high index of suspicion and an early treatment.
References
Almeida A, Roberts I (2005) Bone involvement in sickle cell disease. Br J Haematol 129:482–490
Anand AJ, Glatt AE (1994) Salmonella osteomyelitis and arthritis in sickle cell disease. Semin Arthritis Rheum 24:211–221
Chambers JB, Forsythe DA, Bertrand SL, Iwinski HJ, Steflik DE (2000) Retrospective review of osteoarticular infections in a pediatric sickle cell age group. J Pediatr Orthop 20:682–685
Feldman LS (2006) Septic Salmonella sacroiliitis. Case report and review. Pediatr Infect Dis J 25:187–189
Klein MA, Winalski CS, Wax MR, Piwnica-Worms DR (1991) MR imaging of septic sacroiliitis. J Comput Assist Tomogr 15:126–132
Sturzenbecher A, Braun J, Paris S, Biedermann T, Hamm B, Bollow M (2000) MR imaging of septic sacroiliitis. Skelet Radiol 29:439–446
Collazos J, Mayo J, Martinez E, Blanco MS (1999) Muscle infections caused by Salmonella species: case report and review. Clin Infect Dis 29:673–677
Zansky S, Wallace B, Schoonmaker-Bopp D et al (2002) Outbreak of multidrug-resistant Salmonella Newport—United states, January-April 2002. MMWR Morb Mortal Wkly Rep 51:545–548
Ross JJ, Shamsuddin H (2004) Sternoclavicular septic arthritis. Review of 180 cases. Medicine (Baltimore) 83:139–148
Marino C, McDonald E (1990) Rheumatoid arthritis in a patient with sickle cell disease. J Rheumatol 17:970–972
Nistala K, Murray KJ (2001) Co-existent sickle cell disease and juvenile rheumatoid arthritis. Two cases with delayed diagnosis and severe destructive arthropathy. J Rheumatol 28:2125–2128
MacGregor AJ, Riste LK, Hazes JM, Silman AJ (1994) Low prevalence of rheumatoid in black-Caribbeans compared with whites in inner city Manchester. Ann Rheum Dis 53:293–297
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Bachmeyer, C., Ammouri, W., M’Bappé, P. et al. Unusual sites of Salmonella osteoarthritis in patients with sickle cell disease: two cases. Clin Rheumatol 26, 1356–1358 (2007). https://doi.org/10.1007/s10067-006-0381-4
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DOI: https://doi.org/10.1007/s10067-006-0381-4