SALMONELLA-TYPHI OSTEOMYELITIS

Salmonella infections in man can be divided in five clinical groups: e nteric fever, septicaemia without localization, focal disease, gastroe nteritis and the carrier state. Salmonella typhi is mostly associated with enteric fever and the carrier state. Bone infections due to S. ty phi have been reported relatively seldom. They usually occur as the re sult of metastatic spread during septicaemia or, more rarely, after di rect inoculation. Two patients with S. typhi osteomyelitis of the fore arm without evidence of a primary infection or direct inoculation are presented here.