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Bilateral Hip Septic Arthritis Caused by Nontyphoidal Salmonella Group D in a 16-Year-Old Girl With Covid-19: A Case Report Publisher



Salehi M1 ; Nourbakhsh SMK2 ; Ardakani MV3 ; Abdollahi A4 ; Khaki PA5 ; Aliramezani A5
Authors

Source: International Journal of Surgery Case Reports Published:2022


Abstract

Introduction and importance: Nontyphoidal Salmonella infection can lead to gastroenteritis, enteric fever, and bacteremia. However, joint infections due to this bacterium are rare, and usually associated with immunosuppressive disorders. Case presentation: A 16-year-old girl, with a recent history of acute lymphocytic leukemia (ALL) presented with bacteremia, and bilateral hip pain after COVID-19 symptoms. Clinical presentation, laboratory features and imaging showed bilateral nontyphoidal Salmonella septic arthritis. We administered antibiotics, based on antibiotics susceptibility pattern of the isolated Salmonella. Clinical discussion: The case is presented because reports of bilateral hip joint infection due to nontyphoidal Salmonella are rare especially after COVID-19. When the patient presents with joint discomfort, the clinician should think infection especially in immunocompromised hosts. Conclusion: It illustrates successful management of septic arthritis requires prompt clinical diagnosis, microorganism identification, administration of appropriate systemic antibiotics and hip joint surgery. © 2022 The Authors
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