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July 1968, Vol 116, No. 1 >
Article | July 1968

Shigella sonnei Osteomyelitis and Sickle-Cell Anemia FREE

Herbert M. Rubin, MD; Warren Eardley, MD; Buford L. Nichols, MD
[+] Author Affiliations

Received for publication Nov 10, 1967.

Reprint requests to Texas Children's Hospital, 6621 Fannin St, Houston 77025 (Dr. Nichols).


Am J Dis Child. 1968;116(1):83-87. doi:10.1001/archpedi.1968.02100020085013.
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References
Comments

THE association of Salmonella osteomyelitis and sickle-cell disease has been well documented.1-4 It is frequently difficult to distinguish the symptoms of osteomyelitis from the hand-foot syndrome seen in sickle-cell anemia, especially during the early stages of the osteomyelitic process. It is the purpose of this paper to report a case of osteomyelitis caused by Shigella sonnei, where the patient presented with the hand-foot syndrome.

Report of a Case  A 23-month-old Negro girl was considered well until 11 months of age, when she developed pain and swelling of the dorsal surfaces of both hands and feet in conjunction with a respiratory infection. A sodium bisulfite preparation showed sickling of the red blood cells, and electrophoresis revealed the presence of homozygous hemoglobin S. During the following 12 months, the patient had four similar episodes. At 23 months of age, the patient was brought to the emergency room with a one-hour history

REFERENCES

1 +
Ellenbogen, N.C.; Raim, J.; and Grossman, L.:  Salmonella sp (Type Montevideo) Osteomyelitis , Amer J Dis Child 90:275-279 ( (Sept) ) 1955;.
2 +
Hook, E.W., et al:  Salmonella Osteomyelitis in Patients With Sickle-Cell Anemia , New Eng J Med 257:403-407, 1957;.
3 +
Hughes, J., and Carroll, D.:  Salmonella Osteomyelitis Complicating Sickle-Cell Disease , Pediatrics 19:184-190, 1957;.
4 +
Mayer, V., and Pohlidal, S.J.:  Salmonella Osteomyelitis With Concomitant Sickle-Cell Disease , New York J Med 51:2785, 1951;.
5 +
Booker, C.R.; Scott, R.B.; and Ferguson, A.:  Studies in SS Anemia: XXII. Clinical Manifestations of SS Anemia During the First Two Years of Life , Clin Pediat 3:111-115, 1964;.
6 +
Watson, R.J., et al:  The Hand-Foot Syndrome in Sickle-Cell Disease in Young Children , J Pediat 31:975-982, 1963;.
7 +
Trowell, H.C.; Raper, A.B.; and Welbourn, H.F.:  The Natural History of Homozygous Sickle-Cell Anemia in Central Africa , Quart J Med 26: 401-422, 1957;.
8 +
Danford, E.A.; Marr, R.; and Elsey, E.C.:  Sickle-Cell Anemia With Unusual Bone Changes , Amer J Roentgen 45:223-226, 1941;.
9 +
Rowe, C.W., and Haggard, M.:  Bone Sickle-Cell Anemia , Radiology 68:661-668, 1957;.
10 +
Winters, B.V., and Harding, H.B.:  Shigella Sonnei Bacteremia , JAMA 180:927-931, 1962;.
11 +
Darling, S.T., and Bates, L.B.:  Bacillus Dysenteriae Recovered From the Peripheral Blood and Stools of Cases in Panama , Amer J Med Sci 143:36-40, 1911;.
12 +
DeSautelle, W.T.:  A Case of Bacillary Dysenteriae Septicemia , JAMA 63:1853, 1914;.
13 +
Genson, M.:  Bacillary Dysentery With Bacteremia , Amer J Med Techn 22:179-183, 1956;.
14 +
Rothman, P.E.:  Dysentery Bacillemia , J Pediat 9:167-172, 1936;.
15 +
Davison, W.C.:  A Bacteriological and Clinical Consideration of Bacillary Dysentery in Adults and Children , Medicine 1:389-510, 1922;.
16 +
Boyd, J.S.K.:  A Case of Bacillary Dysentery in Which Flexner-Y Was Recovered From the Blood , Lancet 2:482-483. 1919;.
17 +
Roberts, A.R., and Hilburg, L.:  Sickle-cell Disease With Salmonella Osteomyelitis , J Pediat 52: 170-175, 1958;.
18 +
Wigh, R., and Thompson, H.:  Cortical Fissuring in Osteomyelitis Complicating Sickle-cell Anemia , Radiology 55:553-555, 1960;.

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References

1 +
Ellenbogen, N.C.; Raim, J.; and Grossman, L.:  Salmonella sp (Type Montevideo) Osteomyelitis , Amer J Dis Child 90:275-279 ( (Sept) ) 1955;.
2 +
Hook, E.W., et al:  Salmonella Osteomyelitis in Patients With Sickle-Cell Anemia , New Eng J Med 257:403-407, 1957;.
3 +
Hughes, J., and Carroll, D.:  Salmonella Osteomyelitis Complicating Sickle-Cell Disease , Pediatrics 19:184-190, 1957;.
4 +
Mayer, V., and Pohlidal, S.J.:  Salmonella Osteomyelitis With Concomitant Sickle-Cell Disease , New York J Med 51:2785, 1951;.
5 +
Booker, C.R.; Scott, R.B.; and Ferguson, A.:  Studies in SS Anemia: XXII. Clinical Manifestations of SS Anemia During the First Two Years of Life , Clin Pediat 3:111-115, 1964;.
6 +
Watson, R.J., et al:  The Hand-Foot Syndrome in Sickle-Cell Disease in Young Children , J Pediat 31:975-982, 1963;.
7 +
Trowell, H.C.; Raper, A.B.; and Welbourn, H.F.:  The Natural History of Homozygous Sickle-Cell Anemia in Central Africa , Quart J Med 26: 401-422, 1957;.
8 +
Danford, E.A.; Marr, R.; and Elsey, E.C.:  Sickle-Cell Anemia With Unusual Bone Changes , Amer J Roentgen 45:223-226, 1941;.
9 +
Rowe, C.W., and Haggard, M.:  Bone Sickle-Cell Anemia , Radiology 68:661-668, 1957;.
10 +
Winters, B.V., and Harding, H.B.:  Shigella Sonnei Bacteremia , JAMA 180:927-931, 1962;.
11 +
Darling, S.T., and Bates, L.B.:  Bacillus Dysenteriae Recovered From the Peripheral Blood and Stools of Cases in Panama , Amer J Med Sci 143:36-40, 1911;.
12 +
DeSautelle, W.T.:  A Case of Bacillary Dysenteriae Septicemia , JAMA 63:1853, 1914;.
13 +
Genson, M.:  Bacillary Dysentery With Bacteremia , Amer J Med Techn 22:179-183, 1956;.
14 +
Rothman, P.E.:  Dysentery Bacillemia , J Pediat 9:167-172, 1936;.
15 +
Davison, W.C.:  A Bacteriological and Clinical Consideration of Bacillary Dysentery in Adults and Children , Medicine 1:389-510, 1922;.
16 +
Boyd, J.S.K.:  A Case of Bacillary Dysentery in Which Flexner-Y Was Recovered From the Blood , Lancet 2:482-483. 1919;.
17 +
Roberts, A.R., and Hilburg, L.:  Sickle-cell Disease With Salmonella Osteomyelitis , J Pediat 52: 170-175, 1958;.
18 +
Wigh, R., and Thompson, H.:  Cortical Fissuring in Osteomyelitis Complicating Sickle-cell Anemia , Radiology 55:553-555, 1960;.

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