Bone abscess due to Salmonella B. (Bredeney)

Abstract

Attention is called to the relative frequency of the salmonella group acting as pyogenic organisms. Soft tissue abscesses, osteomyelitis or pyarthrosis may be produced. The more common strains which involve the skeletal system are the Salmonella typhimurium B which affects chiefly bone and the Salmonella choleraesuis C which has a predilection for joints. In either case the clinical picture is one of acute infection. An unusual case is presented. This case differs from those previously reported in that the lesion was a chronic bone abscess and the infecting organism, Salmonella Bredeney B. has not, to our knowledge, been previously described as being a cause of osteomyelitis. The portal of entry in this case is unknown. Whether the attack of diarrhea which occurred four years previously was due to paratyphoid fever and the source of the bone abscess is conjectural.