CC BY-NC-ND 4.0 · J Lab Physicians 2023; 15(04): 613-615
DOI: 10.1055/s-0043-1768949
Case Report

Primary Anterior Thoracic Wall Abscess with Osteomyelitis by Salmonella paratyphi A: Case Report

Neetha S. Murthy
1   Department of Microbiology, JSS Academy of Higher Education and Research (AHER), Mysuru, Karnataka, India
,
Rashmi P. Mahale
1   Department of Microbiology, JSS Academy of Higher Education and Research (AHER), Mysuru, Karnataka, India
,
Krishna Karthik MVS
1   Department of Microbiology, JSS Academy of Higher Education and Research (AHER), Mysuru, Karnataka, India
› Author Affiliations

Abstract

Salmonella enterica serovar Typhi and Paratyphi have been imputed in the causation of enteric fever. Cardiovascular and extraintestinal Salmonella infections have been documented among immunocompromised individuals. Rarely these pathogens are ascribed in the causation of extraintestinal infections among immunocompetent hosts due to hematogenous seeding. We report a case of anterior chest wall abscess with osteomyelitis in an immunocompetent adult by Salmonella paratyphi A without any prior predisposing conditions or gastrointestinal symptoms. The patient underwent incision and drainage of the loculated pus and the involved costochondral junction was curetted. Medical management was guided by automated antibiotic susceptibility testing. Patient responded well to treatment and was discharged with no residual morbidities. Prompt diagnosis complements appurtenant treatment and thereby averts defunct consequential sequelae.



Publication History

Received: 02 February 2023

Accepted: 04 April 2023

Article published online:
10 July 2023

© 2023. The Indian Association of Laboratory Physicians. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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