Salmonella osteomyelitis of the hand in an infant with sickle cell disease.
PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN 2015;
3:e298. [PMID:
25674379 PMCID:
PMC4323402 DOI:
10.1097/gox.0000000000000267]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2014] [Accepted: 11/24/2014] [Indexed: 11/26/2022]
Abstract
Salmonella osteomyelitis involving the hand is a rare, but potentially morbid, complication of sickle cell disease in children. This entity can be difficult to distinguish from the more frequent presentation of dactylitis, but accurate diagnosis is critical to direct proper treatment. We report on a 15-month-old patient with sickle cell disease who ultimately developed osteomyelitis of 1 hand after an acute vasoocclusive episode caused 4 extremity dactylitis. The case description illustrates the diagnostic and treatment challenges.
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