Plastic and Reconstructive Surgery, Global Open (Jan 2015)

Salmonella Osteomyelitis of the Hand in an Infant with Sickle Cell Disease

  • Jeremy C. Sinkin, MD,
  • Benjamin C. Wood, MD,
  • Tina M. Sauerhammer, MD,
  • Michael J. Boyajian, MD,
  • Gary F. Rogers, MD, JD, MBA, MPH,
  • Albert K. Oh, MD

DOI
https://doi.org/10.1097/GOX.0000000000000267
Journal volume & issue
Vol. 3, no. 1
p. e298

Abstract

Read online

Summary: 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.