ACUTE HEMATOGENOUS OSTEOMYELITIS OF A CLOSED FRACTURE WITH CHRONIC SUPERINFECTION

Acute hematogenous salmonella osteomyelitis is rare among immunocompet ent adults, In this study, the authors reported an unusual case of sal monella enteriditis osteomyelitis of the humerus complicated by methic illin-resistant Staphylococcus aureus superinfection and eventual chro nic osteomyelitis in an immunocompetent host, Resection of the humeral head and a significant portion of the humeral shaft coupled with nume rous surgical debridements and intravenously administered antibiotics led to resolution of symptoms, This case provides a rare example of ac ute hematogenous osteomyelitis complicating a closed fracture and demo nstrates the difficulty associated with eradication of these specific organisms while emphasizing the principle of aggressive surgical debri dement in cases of chronic osteomyelitis.