Salmonella sp. (type Montevideo) osteomyelitis; report of a case and review of the literature.

Abstract

This case report is presented because of its rarity, the extensive osteomyelitic lesion, and the difficulty encountered in establishing the diagnosis early in the disease. REPORT OF CASE S. F., a 27-month-old Negro boy, was admitted to Jackson Memorial Hospital on Sept. 14, 1954, with the chief complaint of fever and swelling of the right elbow of three days' duration. The patient was first seen at Jackson Memorial Hospital seven days prior to admission, with a two-day history of fever and intermittent pain in all four extremities. Examination at this time revealed a well-developed, well-nourished, Negro boy, having a rectal temperature of 99 F and no significant physical findings. Laboratory studies showed a hemoglobin of 9.4 gm. per 100 cc. (capillary blood) and 12 nucleated RBC's per 100 RBC's, and the sickling preparation demonstrated 85% sickling. The diagnosis of sickle-cell crisis was made, and the patient was treated symptomatically. He