Salmonella Osteomyelitis with Cutaneous Fistula in an Immunocompetent Adult Presenting as a Tumor-like Bone Lesion
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Non-typhoidal Salmonella (NTS) commonly causes acute gastroenteritis. It can also lead to invasive infections such as osteomyelitis. However, these are rare occurrences in healthy individuals. A healthy Japanese man in his 30s presented with right leg pain and a cutaneous fistula that persisted for four months. NTS was identified in the bone culture. The patient was treated with ceftriaxone and de-escalated to ampicillin, followed by oral amoxicillin. This case demonstrates that chronic osteomyelitis caused by NTS can present as a cutaneous fistula. Furthermore, it underscores the importance of obtaining a bone culture to identify the causative organism and ensure an accurate diagnosis.
Fields of Study & Subjects
Orthopedic Infections and Treatments
Salmonella and Campylobacter epidemiology
Infectious Diseases and Tuberculosis
Publication details
- Journal / source
- Internal Medicine
- Volume
- 65
- Issue
- 20
- Pages
- 2767–2772
- Publication date
- 16 March 2026
- Language
- EN