RESUMEN
Osteoarticular infections due to non-typhoidal Salmonella are rare, occurring with an incidence rate of 0.1-0.2%. An immunocompromised state and the existence of sickle cell anemia are known risk factors for development of septic arthritis due to Salmonella. In this report, we describe a patient with septic arthritis of the left knee caused by non-typhoidal Salmonella . An 82-year-old woman visited the emergency room presenting with left knee pain, fever and dyspnea. The patient had osteoarthritis and was treated with oral analgesics, but not with an intra-articular injection. Upon assessment of the patient's joint fluid and blood culture results, non-typhoidal Salmonella (Salmonella group D) was detected. Arthroscopy-guided irrigation and debridement, and administration of oral antibiotics (fluoroquinolone) over six weeks were required in order to achieve a full recovery from the infection.
Asunto(s)
Anciano de 80 o más Años , Femenino , Humanos , Analgésicos , Anemia de Células Falciformes , Antibacterianos , Artritis Infecciosa , Bacteriemia , Desbridamiento , Disnea , Urgencias Médicas , Fiebre , Incidencia , Inyecciones Intraarticulares , Articulaciones , Rodilla , Articulación de la Rodilla , Osteoartritis , Factores de Riesgo , Salmonella , Infecciones por SalmonellaRESUMEN
Reactive perforating collagenosis (RPC) is one of a range of essential perforating disorders. Two types have been recognized: the childhood or inherited form, and the adult or acquired form. Acquired RPC is usually associated with systemic diseases, especially diabetes mellitus, and/or renal failure. We present a case of a 47-year-old female with umbilicated skin lesions triggered by an insect bite. Histology from the lesion revealed transepidermal elimination of collagen.