Publications
Salmonella-induced osteomyelitis of the tibia—presentation as a Brodie’s abscess and a review of literature: a case report.
Hooda A, Mehta N, Mander H, Tyagi J, Dhillon MS. Salmonella osteomyelitis is a rare condition, and its presentation as a Brodie’s abscess is extremely rare. A 41-year-old male presented with a
2-year history of intermittent pain and swelling in the right leg after blunt trauma. Radiographs showed a lytic lesion in the tibial mid-shaft,
suggestive of osteomyelitis; magnetic resonance imaging (MRI) showed a large area of signal change in the tibial diaphysis. A surgical excision
was performed, and the purulent material removed was positive for growth of Salmonella typhi. Due to a significant posteromedial defect after
bone excision, a biocomposite bone substitute was added, and an external fixator was applied to allow immediate ambulation. Subsequent
detailed history and blood tests did not show evidence of typhoid infection. At the 6-month follow-up, there was complete resolution of
symptoms, with no signs of infection or recurrence on subsequent radiographs. This case highlights the importance of identifying Salmonella
as a possible cause of osteomyelitis, even in individuals with no such history. We present a detailed literature review of all published cases of
Salmonella-induced Brodie’s abscess, with special focus on cases in the tibia.
