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Peer-reviewedCC BY-NC-NDInternal Medicine

Salmonella Osteomyelitis with Cutaneous Fistula in an Immunocompetent Adult Presenting as a Tumor-like Bone Lesion

Abstract

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.

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BibTeX
@article{sakurai2026salmonella,
  title = {{Salmonella Osteomyelitis with Cutaneous Fistula in an Immunocompetent Adult Presenting as a Tumor-like Bone Lesion}},
  author = {Taito Sakurai and Kei Furui Ebisawa and Takashi Koyama and Goh Ohji and Kentaro Iwata},
  journal = {Internal Medicine},
  year = {2026},
  month = oct,
  doi = {10.2169/internalmedicine.6800-25},
  url = {https://www.jstage.jst.go.jp/article/internalmedicine/65/20/65_6800-25/_article},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Salmonella Osteomyelitis with Cutaneous Fistula in an Immunocompetent Adult Presenting as a Tumor-like Bone Lesion
AU  - Taito Sakurai
AU  - Kei Furui Ebisawa
AU  - Takashi Koyama
AU  - Goh Ohji
AU  - Kentaro Iwata
PY  - 2026
DA  - 2026/10/15
JO  - Internal Medicine
DO  - 10.2169/internalmedicine.6800-25
UR  - https://www.jstage.jst.go.jp/article/internalmedicine/65/20/65_6800-25/_article
AB  - 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.
SN  - 1349-7235
SN  - 0918-2918
ER  -